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Case Reports
. 2011 Jan-Mar;15(1):114-6.
doi: 10.4293/108680811X13022985131615.

Large subcapsular liver hematoma following single-incision laparoscopic cholecystectomy

Adam J Hansen  1 , Julie Augenstein, Evan S Ong
Affiliations
Case Reports

Large subcapsular liver hematoma following single-incision laparoscopic cholecystectomy

Adam J Hansen et al. JSLS. 2011 Jan-Mar.

Abstract

Background and objectives: Many laparoscopic surgeons are now transitioning from standard multiple-port laparoscopic cholecystectomy to single-incision laparoscopic surgery (SILS) in an attempt to improve cosmetic outcomes and decrease postoperative morbidity. However, little has been published regarding the potential complications of SILS operations.

Methods: We report the case of a patient undergoing SILS cholecystectomy who developed the complication of a large hepatic hematoma, resulting in significant postoperative morbidity, blood transfusion requirement, and reoperation.

Results: After an in-depth internal review of the postoperative morbidity of this case, it appears that the causative factor may be instrument shaft torque on the liver surface.

Conclusion: Single-incision laparoscopic surgery may pose significant and unique risks that warrant additional operative caution. Quantitative comparison of SILS to the gold-standard laparoscopic cholecystectomy is needed to further elucidate definitive benefits and complications of this novel technique.

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Figures

Figure 1.
Figure 1.
Large subcapsular liver hematoma.
See this image and copyright information in PMC

References

    1. Elazary R, Khalaileh A, Zamir G, et al. Single-trocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments: a bridge to NOTES or the final form? Surg Endosc. 2009;23(5):969–972 - PubMed
    1. Ersin S, Firat O, Sozbilen M. Single-incision laparoscopic cholecystectomy: is it more than a challenge? Surg Endosc. 2010;24(1):68–71 - PubMed
    1. Hong TH, You YK, Lee KH. Transumbilical single-port laparoscopic cholecystectomy: scarless cholecystectomy. Surg Endosc. 2009;23(6):1393–1397 - PubMed
    1. Kuon Lee S, You YK, Park JH, Kim HJ, Lee KK, Kim DG. Single-port transumbilical laparoscopic cholecystectomy: a preliminary study in 37 patients with gallbladder disease. J Laparoendosc Adv Surg Tech A. 2009;19(4):495–499 - PubMed
    1. Petrotos AC, Molinelli BM. Single-incision multiport laparoendoscopic (SIMPLE) surgery: early evaluation of SIMPLE cholecystectomy in a community setting. Surg Endosc. 2009;23(11):2631–2634 - PubMed

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