Technical Report on the Initial Cases of Single-Incision Laparoscopic Combined Cholecystectomy and Splenectomy in Children, Using Conventional Instruments

Author:

Yuk Him Tam 1,Kim Hung Lee 2,Kin Wai Chan 2,Sihoe Jennifer Dart Yin2,Sing Tak Cheung 2,Kit Yi Pang Kristine2

Affiliation:

1. Prince of Wales Hospital, the Chinese University of Hong Kong, Hong Kong, China,

2. Prince of Wales Hospital, the Chinese University of Hong Kong, Hong Kong, China

Abstract

Aim. The authors report a technique to perform single-incision laparoscopic combined cholecystectomy and splenectomy in 3 children using conventional instruments. Methods . Three ports, including 5-mm and 3-mm ports, were placed through an infraumbilical incision for the procedure. Splenectomy was completed in most parts by crossing the 2 straight instruments. Results. The 3 patients, aged 11 to 13 years, with body weight 29 kg to 32 kg, underwent the procedure. In the first patient, 2 additional extraumbilical 5-mm ports were required to complete the splenectomy. After modification of the technique, combined cholecystectomy and splenectomy by SILS were successfully performed in the other 2 patients without complications, and postoperative courses were uneventful. Conclusions. Combined cholecystectomy and splenectomy in children by SILS is technically feasible using conventional instruments. Further studies are required to investigate its safety, benefits over conventional laparoscopic surgery, and refinements in the technique.

Publisher

SAGE Publications

Subject

Surgery

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