Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev ET
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 1
Subject Area: Medicine
Pages: 1466-1469
DOI: 10.5272/jimab.2017231.1466
Published online: 08 February 2017

J of IMAB 2017 Jan-Mar;23(1):1466-1469
Anton Koychev1Corresponding Autor, Svetoslav Garov2, Tsvetelina Mihaylova2ORCID logo, Veselin Ilinov1
1) Department of Surgery, Alexandrovska University Hospital, Sofia, Bulgaria
2) Department of Medical Pedagogy, Faculty of Public Health, Medical University, Sofia, Bulgaria.

Nowadays, there is no operation in the field of abdominal surgery, which cannot be performed laparoscopically. Both surgeons and patients have at their disposal an increasing number of laparoscopic techniques to perform the surgical interventions.
The prevalence of laparoscopic cholecystectomy is due to its undeniable advantages over the traditional open surgery, namely small invasiveness, reducing the frequency and severity of perioperative complications, the incomparably better cosmetic result, and the so much better medical and social, and medical and economic efficiency.
Single-port laparoscopic techniques to perform laparoscopic cholecystectomy are acceptable alternative to the classical conventional multi-port techniques.
The security of the laparoscopic cholecystectomy requires precise identification of anatomical structures and precise observing the diagnostic and treatment protocols, and criteria for selection of patients to be treated surgically by these methods.

Key words: Socially significant diseases, abdominal surgery, working ability, gallstone disease,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Koychev A, Garov S, Mihaylova T, Ilinov V. Comparative analysis of trauma reduction techniques in laparoscopic cholecystectomy. J of IMAB. 2017 Jan-Mar;23(1):1466-1469.
DOI: 10.5272/jimab.2017231.1466.

For correspondence: Anton Koychev, MD, PhD, Department of Surgery, Alexandrovska University Hospital, Sofia; 1, Georgi Sofijski str., 1431, Sofia, Bulgaria; E-mail:,

1. Lee PC, Lo C, Lai PS, Chang JJ, Huang SJ, Lin MT, et al. Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy. Br J Surg. 2010 Jul;97(7):1007–1012. [PubMed]
2. Marks J, Tacchino R, Roberts K, Onders R, Denoto G, Paraskeva P, et al. Prospective randomized controlled trial of traditional laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy: report of preliminary data. Am J Surg. 2011 Mar;201(3):369-72; [PubMed]
3. Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S. Randomized controlled trial comparing single-port laparoscopic cholecystectomy and 4-port laparoscopic cholecystectomy. Ann Surg. 2011 Jul;254(1):22–27. [PubMed]
4. Sun S, Yang K, Gao M, He X, Tian J, Ma B. Three port versus four port laparoscopic cholecystectomy: Trials.World J Surg. 2009 Sep;33(9):1904-08. [PubMed]
5. Cerci C, Tarhan OR, Barut I, Bulbul M. Three-port versus four-port laparoscopic cholecystectomy. Hepatogastroenterology. 2007 Jan-Feb;54(73):15-6. [PubMed]
6. Chamberlain RS, Sakpal SV. A comprehensive review of single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) techniques for cholecystectomy. J Gastrointest Surg. 2009 Sep;13(9):1733-40. [PubMed]
7. Podolsky ER, Rottman SJ, Poblete H, King SA, Curcillo PG. Single Port Access (SPA™) cholecystectomy: a completely transumbilical approach.J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):219–222. [CrossRef]
8. Lill S, Karvonen J, Hämäläinen M, Falenius V, Rantala A, Grönroos JM, et al. Adoption of single incision laparoscopic cholecystectomy in small-volume hospitals: initial experiences of 51 consecutive procedures. Scand J Surg. 2011;100(3):164-8. [PubMed]
9. McGregor CG, Sodergren MH, Aslanyan A, Wright VJ, Purkayastha S, Darzi A, et al. Evaluating Systemic Stress Response in Single Port vs. Multi-Port Laparoscopic Cholecystectomy. J Gastrointest Surg. 2011 Apr;15(4):614-22. [PubMed]
10. Valverde A. Single incision laparoscopic cholecystectomy using the SILS monotrocar? Journal of Visceral Surgery. 2012 Feb;149(1):e38-e43. [CrossRef]
11. Ahmed K, Wang TT, Patel VM, Nagpal K, Clark J, Ali M, et al. The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surgical Endoscopy. 2011 Feb;25(2):378–396.  [CrossRef]
12. Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg. 2009 Jan;13(1):159-162. [PubMed]
13. Kia MA, Lee C, Martinez JM, Zundel N. Single Port Cholecystectomy: The Pathway Back to a Standardized Technique. Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):314–317. [CrossRef]
14. Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M, Rosemurgy AS. Laparoendoscopic single site (LESS) cholecystectomy. J Gastrointest Surg. 2009 Feb;13(2):188-192. [CrossRef]
15. Ching Li L, Ming-Te H, Soul-Chin C, Po-Li W, Chih-Hsiung W, Weu W. Initial experience of single incision laparoscopic cholecystectomy (with video). Surg Laparosc Endosc Percutan Tech. 2010 Aug;20(4):243-6. [PubMed]
16. Wen KC, Lin KY, Chen Y, Lin YF, Wen KS, Uen YH. Feasibility of single-port laparoscopic cholecystectomy using a homemade laparoscopic port: a clinical report of 50 cases. Surg Endosc. 2011 Mar;25(3):879-82. [PubMed]
17. Rupp CC, Farrell TM, Meyer AA. Single Incision Laparoscopic Cholecystectomy Using a “Two-Port” Technique Is Safe and Feasible: Experience in 101 Consecutive Patients. Am Surg. 2011 Jul;77(7):916-921(6).
18. Rawlings A, Hodgett SE, Matthews BD, Strasberg SM, Quasebarth M, Brunt LM. Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiography. J Am Coll Surg. 2010 Jul;211(1):1-7. [PubMed]
19. Bitner M, Jaszewski R, Jander S, Maciejewski M. Laparoscopic cholecystectomy delayed by complicated myocardial infarction with papillary muscle rupture, and performed after unique complex mitral repair. Videosurgery Miniinv. 2013; 8(2):170-173. [CrossRef]
20. Hobbs MS, Mai Q, Knuiman MW, Fletcher DR, Ridout SC. Surgeon experience and trends in intraoperative complications in laparoscopic cholecystectomy. Br J Surg. 2006 Jul;93(7):844-53. [PubMed]
21. Yegiyants S, Collins JC. Operative strategy can reduce the incidence of major bile duct injury in laparoscopic cholecystectomy. Am Surg. 2008 Oct;74(10):985-7. [PubMed]
22. Giger U, Ouaissi M, Schmitz SF, Krahenbuhl S, Krahenbuhl L. Bile duct injury and use of cholangiography during laparoscopic cholecystectomy. Br J Surg. 2011 Mar;98(3):391-396. [PubMed]

Received: 13 November 2016
Published online: 20 February 2017

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