In open or conventional cholecystectomy an incision about 6 to 8 inches long is made in the right chest parallel to the rib cage or, alternatively, in the middle of the body from the middle of the rib cage to near the belly button. Once the abdomen is opened, the cystic duct and cystic artery are identified and divided between titanium clips or ties. An x-ray may be done to look for stones in the common bile duct, prior to this. Once these structures are divided, the gallbladder is removed from its attachments to the liver and removed from the abdomen. The abdomen is inspected for bleeding and closed with sutures or clips.
Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen. It is a low-risk, minimally invasive procedure. Only small incisions are made.
Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through an incision in the abdominal wall. As it moves along, the camera sends images to a video monitor.
Why choose SILS surgery?
Lessen the trauma of access
Lessen the residual surgical scar
Ability to convert to standard lap surgery or open surgery when the need arises without compromise to patient safety
Accomplished through a single 20 mm or 11 mm incision in the navel (umbilicus or belly button)
The use of specialized medical devices such as the SILS Multiple Instrument Access Port that can be fitted through a small incision in the navel to allow surgeons to use up to three laparscopic devices simultaneously.