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Revolutionary Treatment For Patients With Gallbladder Stones

Posted by : Prince, 01 Jun 2011 04:13 PM
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By
Dr. Deepraj Bhandarkar
MS, MAMS, FRCS, FACS, FICS, FAIS, FIAGES, FACG, Dip. Lap. Surgery (France)
Consultant – Minimal Access Surgery
For appointments: (022) 39818181
Email: dr_dbhandarkar@hindujahospital.com

Single incision laparoscopic cholecystectomy (SILC) is a new way of performing laparoscopic surgery in which only one tiny (1.5 – 2 cm) incision is used to carry out an operation.

How is SILC different from standard laparoscopic surgery?
Over the last few years laparoscopic surgery has been used in the treatment of several diseases, gallbladder stones being one of them. In laparoscopic surgery, the abdomen is filled with carbon dioxide gas to create a space for the surgeon to work in. Tubes called “ports” are then inserted through three to four small cuts, each measuring around ½ – 1 cm. A telescope attached to a camera inserted through one of the ports allows the surgical team to observe a picture of the internal organs on a television screen. The surgeon carries out the surgery with the help of instruments introduced through the ports.
Four scars of traditional laparoscopic cholecystectomy

In SILC, the surgeon uses only one small cut of around 1.5 cm – 2 cm (near the navel) to pass a telescope and instruments. The surgeon then carries out an operation identical to a traditional laparoscopic one.

How is SILC better for the patients?
As there is  only one small cut the patient experiences much less pain as compared to  traditional laparoscopic surgery and recovers even faster. The small scar of  healed incision practically fades away with time. All patients enjoy these  benefits, but SILC is of immense value  to ladies (who prefer to have as few scars as possible) and to busy corporate  executives who wish to recover rapidly from surgery so as to get back to  work.

Practically invisible scar (arrow) after a SILC
Can SILC be offered to all patients with gallstones?
The surgeon assesses an individual patient to decide whether or not he / she are a suitable candidate for SILC. SILC may not be applicable to some patients, e.g.
Those who are very obese,
Those who have had multiple previous abdominal operations Traditional laparoscopic surgery, of course, can be offered to all these groups of patients.
What happens if an operation cannot be completed by SILC?
In around 5% patients it may not be possible to complete the operation by SILC due to technical difficulties. The surgeon places one or two additional ports and completes the procedure in the traditional laparoscopic manner. In extremely rare circumstances, it may be necessary to convert to an open operation. Both these issues are always discussed with patients prior to surgery and they are made aware that conversion to traditional laparoscopy or indeed to open surgery merely represents a sound judgment on part of the surgeon in the interest of patient safety.
What are the costs involevd in SILC?
Using innvovative techniques and indigenous instruments Dr Bhandarkar now offers his patients SILC at exactly the same cost as traditional laparoscopic cholecystectomy. So the patients can enjoy the benefits of this revolutionary surgery at no extra expense.
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