الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Laparoscopic surgery has been widely accepted as an alternative to open surgery across a myriad of surgical disciplines. Its benefits of diminished pain, faster recovery, improved cosmesis, and shorter hospitalization have been well documented across a spectrum of surgical procedures SILS is a new technique through which Laparoscopic surgery takes place through a single incision usually the umbilicus, because it represents a natural scar and constitutes a well-healing site of access to the peritoneal cavity without need for additional ports. The implementation of this technique has been witnessed in the fields of urologic, gynecologic, gastrointestinal, pediatric and bariatric surgery. SILS potentially allows for better cosmesis, less pain and faster recovery, less wound infections, ease of tissue retrieval, combination procedure, patient acceptance, standard instruments can be used and do not violate natural orifices. Vessel sealing devices are safe in sealing the cystic duct and artery they make the procedure more easy and more fast. The disadvantages of SILS include loss of triangulation, “Sword-fighting” and hand crossing, the retraction may be problematic, Learning curve, Increased costs, Longer operative times and Increased incidence of hernias. Conclusion : Based on the present findings, SPLC using vessel sealing device seems to be a safe procedure in uncomplicated cholecystitis with rapid recovery, less post-operative pain, less wound infection and better cosmesis. The operating time is long initially, but it shortens as surgeons become more experienced with the procedure. However, patients should be informed about the risks of port- site incisional hernia and instructed to avoid heavy exercise during the first two months post- operative.