Inflammation in Laparoendoscopic Single-Site Surgery Versus Laparoscopic Cholecystectomy

Madureira, Fernando Athayde Veloso; Manso, José Eduardo Ferreira; Filho, Delta Madureira; Iglesias, Antonio

doi:10.1177/1553350613499454

Cited by 19 publications

(20 citation statements)

References 28 publications

(27 reference statements)

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“…Twenty-six articles reporting on 23 studies were included after second-level, full-text screening . Overlapping of patient populations in three reports [41][42][43], including one interim analysis, was confirmed either from information provided in the reports [41,42], or after personal communication with the authors [43]. The study selection history is outlined in Fig.…”

Section: Selection Of Studiesmentioning

confidence: 97%

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

et al. 2015

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Single-incision laparoscopic cholecystectomy with curved instruments may be associated with an increased level of operative difficulty, as reflected by the need for auxiliary measures for exposure and increased operative time as compared to the use of linear instruments. Current instrumentation requires further improvement, tailored to the features of single-incision laparoscopic surgery (CRD42015015721).

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Section: Selection Of Studiesmentioning

confidence: 97%

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

et al. 2015

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“…One potential mechanism may involve chronic inflammation. Cholecystectomy can not only cause dilation of the CBD, elevated bile duct pressure, subsequent cholestasis and infection678, but also can induce systemic inflammation and cause increase of postoperative Interleukin (IL)-1, IL-6 and C-reactive protein (CRP)91011. The link between chronic inflammation and HCC is well established12.…”

mentioning

confidence: 99%

Cholecystectomy is associated with higher risk of early recurrence and poorer survival after curative resection for early stage hepatocellular carcinoma

Wang

Zhi

et al. 2016

Sci Rep

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Although cholecystectomy has been reported to be associated with increased risk of developing hepatocellular carcinoma (HCC), the association between cholecystectomy and prognosis of HCC patients underwent curative resection has never been examined. Through retrospective analysis of the data of 3933 patients underwent curative resection for HCC, we found that cholecystectomy was an independent prognostic factor for recurrence-free survival (RFS) of patients at early stage (BCLC stage 0/A) (p = 0.020, HR: 1.29, 95% CI: 1.04–1.59), and the 1-, 3-, 5-year RFS rates for patients at early stage were significantly worse in cholecystectomy group than in non-cholecystectomy group (80.5%, 61.8%, 52.0% vs 88.2%, 68.8%, 56.8%, p = 0.033). The early recurrence rate of cholecystectomy group was significantly higher than that of non-cholecystectomy group for patients at early stage (59/47 vs 236/333, p = 0.007), but not for patients at advanced stage (BCLC stage C) (p = 0.194). Multivariate analyses showed that cholecystectomy was an independent risk factor for early recurrence (p = 0.005, HR: 1.52, 95% CI: 1.13–2.03) of early stage HCC, but not for late recurrence (p = 0.959). In conclusion, cholecystectomy is an independent predictor for early recurrence and is associated with poorer RFS of early stage HCC. Removal of normal gallbladder during HCC resection may be avoided for early stage patients.

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“…The intention to produce a better aesthetic result, with low morbidity and only one site of pain and potential infection precipitated the advent of single incision laparoscopic surgery (SILS) or laparoendoscopic single site surgery (LESS). SILS procedure represents a junction between a natural surgical access route, the skin and a natural orifice or scar (the umbilicus) [19]. SILS is already being used to perform a wide range of surgical procedures in surgery, gynecology and urology.…”

Section: Discussionmentioning

confidence: 99%

Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: A randomized clinical study

Youssef

Abdalla

2015

International Journal of Surgery

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Inflammation in Laparoendoscopic Single-Site Surgery Versus Laparoscopic Cholecystectomy

Abstract: LESS cholecystectomy requires a larger size incision than LC. We found a tendency of less postoperative pain following LESS cholecystectomy than LC. There was also a tendency toward lower early inflammatory impact following LESS cholecystectomy versus LC.

Cited by 19 publications

References 28 publications

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

Cholecystectomy is associated with higher risk of early recurrence and poorer survival after curative resection for early stage hepatocellular carcinoma

Single incision transumbilical laparoscopic varicocelectomy versus the conventional laparoscopic technique: A randomized clinical study

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