Abstract：Objective To discuss the feasibility and clinical effects of transumbilical single-incison laparoscopic cholecystectomy (SILC) designed on the basis of the anatomical features of Calot′s triangle.Methods From March 2012 to March 2013, the clinical data of 204 patients with hepatobiliary surgery at Zhujiang Hospital Southern Medical University received transumbilical suture-suspension single-incision laparoscopic cholecystectomy (176 patients with gallbladder stones, 21 patients of gallbladder polyps, 3 patients with both of them, and 4 patients of gallbladder adenomyomatosis) were analyzed retrospectively.Results All operations were performed by conventional laparoscopic instruments, of which 198 patients were performed successfully. The success rate was 97.1%(198/204). Four patients required the addition of extra port, and 2 patients were converted to open surgery. The complications such as fever, bellyache, biliary leakage, bleeding and wound infection didn′t occur in 198 patients. There were no visible scars on the abdominal wall after 2 weeks. No complications were observed in the follow up of 1 month.ConclusionsThe method that SILC with the aid of suture-suspension designed on the basis of anatomical characteristics of Calot′s triangle can expose gallbladder triangle well, and it is simple and safe, which can be easily promoted in clinical practice.
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2015, Vol. 20 
