Evolution of SILS cholecystectomy in the Caribbean: the direct transfascial puncture technique using conventional instruments without working ports,” Case Reports

Copyright © 2014 Shamir O. Cawich et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Single incision laparoscopic cholecystectomy (SILC) has become accepted as an alternative to conventional multiport cholecystectomy.However, SILC is still limited in applicability in low resource centres due to the expense associatedwith specialized access platforms, curved instruments, and flexible scopes. Presentation of Case. We present three cases where a modified SILC technique was used with conventional instruments and no working ports. The evolution of this technique is described. Discussion. In order to contain cost, we used conventional instruments and three transfascial ports placed in an umbilical incision, but we note