Abstract:

Objective

To evaluate the safety and clinical efficacy of transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair.

Methods

Clinical data of 5 patients with gallstones， cholecystitis complicated with umbilical hernia treated with transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair in the First People’s Hospital of Yunnan Province from September 2022 to October 2023 were analyzed retrospectively.Among them， 4 patients were male and 1 female， aged from 45 to 56 years， with a median of 49 years.Perioperative status and clinical efficacy were observed.

Results

All 5 patients successfully completed the operation.None was converted to open surgery and no additional port was created.The operation time was 65-90 min， with a median time of 82 min.Intraoperative blood loss was 10-25 ml， with a median of 16 ml.All patients were given with antiinfection and symptomatic treatments after operation.All 5 patients recovered well.No complications such as bleeding and bile leakage occurred.All patients were discharged at postoperative 5 d.No recurrence of gallstones or umbilical hernia was reported as of the paper submission date.

Conclusions

Transumbilical single-port laparoscopic cholecystectomy combined with umbilical hernia repair can shorten the length of hospital stay， avoid the injury induced by multiple operations and yield cosmetic surgical incisions， which is recommended for patients with gallstones complicated with umbilical hernia.

Key words: Single-port laparoscopy, Cholecystectomy, laparoscopic, Umbilical hernia, Incision