Single‐incision laparoscopic cholecystectomy for porcelain gallbladder: A case report

Single‐incision laparoscopic cholecystectomy (SILC) has been performed in patients with gallbladder stones without inflammation. Porcelain gallbladder is a rare finding of chronic cholecystitis that is characterized by extensive calcification of the gallbladder wall. Herein we describe our experience with SILC for porcelain gallbladder with a successful outcome. A 67‐old‐year woman was diagnosed with porcelain gallbladder. We performed SILC using a SILS Port and a 5‐mm forceps through the umbilical incision. Because a small amount of the omentum around the gallbladder was left to facilitate grasping the fundus, a view of both the cystic artery and the cystic duct was easily obtained. The operative time and the intraoperative blood loss were 66 min and less than 1 mL, respectively. The patient was discharged 3 days after surgery and was satisfied with the cosmetic results. Our procedure may represent an alternative to conventional laparoscopic cholecystectomy in patients with porcelain gallbladder.

[1]  E. Livingston,et al.  Reassessing the need for prophylactic surgery in patients with porcelain gallbladder: case series and systematic review of the literature. , 2011, Archives of surgery.

[2]  F. Tomaselli,et al.  Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)—a matched pair analysis , 2011, Langenbeck's Archives of Surgery.

[3]  J. Gugenheim,et al.  Single-incision laparoscopic cholecystectomy: is it more than a challenge? , 2011, Surgical Endoscopy.

[4]  D. Feliciano,et al.  Initial experience with single-incision laparoscopic cholecystectomy. , 2010, Journal of the American College of Surgeons.

[5]  Klaus Thaler,et al.  Single-incision laparoscopic cholecystectomy using conventional instruments: early experience in comparison with the gold standard. , 2009, Journal of the American College of Surgeons.

[6]  Y. Matsui,et al.  Laparoscopic cholecystectomy in patients with porcelain gallbladder based on the preoperative ultrasound findings. , 2004, Hepato-gastroenterology.

[7]  G. Anania,et al.  Elective transumbilical compared with standard laparoscopic cholecystectomy. , 1999, The European journal of surgery = Acta chirurgica.

[8]  S. Onizuka,et al.  Laparoscopic cholecystectomy is a safe procedure for the treatment of porcelain gallbladder. , 1997, Endoscopy.

[9]  W T Ng,et al.  One-wound laparoscopic cholecystectomy. , 1997, The British journal of surgery.

[10]  Carrera Gm,et al.  Calcification of the gallbladder ("porcelain gallbladder"). , 1963 .

[11]  S. Ochsner,et al.  Calcification of the gallbladder ("porcelain gallbladder"). , 1963, The American journal of roentgenology, radium therapy, and nuclear medicine.