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One Incision Gall Bladder

In this age of minimally invasive surgery, doctors are refining new ways to operate with less trauma to the body. Dr. Darren Miter applies the laparoscopic approach to gallbladder surgery. "The vast majority of gallbladder surgeries are performed laparoscopically nowadays through three or four, 5-millimeter to 1-centimeter incisions on the belly. With the laparoscopic approach there's significantly less blood loss, it's a quicker procedure, quicker recovery, less scarring less chance for post operative wound complications or infections," says Dr. Darren Miter, a laparoscopic surgeon with Lee Memorial Health System. Now a new procedure is taking gallbladder removal to the next level. "There are also certain instances where the gallbladder, rather than being removed laparoscopically with three or four incisions could be removed with just one single incision that we bury in the belly button," says Dr. Miter. It's called single incision laparoscopic surgery or SILS. SILS uses a small incision and removes the gallbladder through the belly button. The advanced technique is a more challenging procedure. "It does require a slightly thinner abdominal wall to be able to get certain instruments through that can manipulate the gallbladder," says Dr. Miter. With only one cut, SILS is not only minimally invasive going in, but leaves behind almost no visible reminder. "I usually will offer that procedure to younger, healthier patients who are less likely to want scars," says Dr. Miter. More than 750,000 patients will undergo a gallbladder removal each year. As surgical techniques evolve, the majority is coming to realize that less is more. "It just gives much better healing time and scarring and people just feel better," says Dr. Miter.