Comparison Between Single Incision and Conventional Laparoscopic Cholecystectomy for Uncomplicated Cholelithiasis

Buémi, Antoine; Swaelens, Charles; Gherardi, D; Malvaux, P.; Landenne, J.; Hauters, P.

doi:10.1080/00015458.2013.11680952

Cited by 2 publications

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Single-incision surgery has benefits of fewer surgical wounds that allow faster recovery by reducing surgical stress and pain, leading to better cosmesis [ 2 ]. Despite these advantages, single-incision cholecystectomy has no advantages in operation time, the average length of stay in a hospital, return to normal activities, or postoperative quality of life compared to CLC [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Risk factors of incisional hernia after single-incision cholecystectomy and safety of barbed suture material for wound closurewound closure

Kim

Choi

Jeong

et al. 2021

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose: Single-incision cholecystectomy is a surgical method that offers comparable results to conventional laparoscopic cholecystectomy. However, a high risk of postoperative incisional hernia is an issue in single-incision cholecystectomy. This study evaluated the risk factors and incidences of incisional hernia after single-incision cholecystectomy and the advantage issue of using barbed suture material during wound closures.Methods: A total of 1,111 patients underwent laparoscopic or robotic single-incision cholecystectomy between March 2014 and February 2020 at our institution at CHA Bundang Medical Center. During this period, there were 693 patients who underwent wound closure with monofilament suture material (Monosyn 2-0; B. Braun) and the other 418 patients used barbed suture material (Stratafix 2-0; Ethicon). Results:The two patient groups were comparable in age, body mass index, and diagnosis. The total incidence of incisional hernia after single-incision cholecystectomy was 0.5% (five cases). All patients who developed incisional hernia were in the monofilament suture material group (0.7% vs. 0%, p = 0.021). The influence of predictive and possible risk factors on incisional hernia rate was analyzed. Among these factors, only old age was an independent predictive risk factor of incisional hernia. Conclusion:Our study showed a low incidence of incisional hernia, all of which occurred in the monofilament suture material group. If technically appropriate, single-incision cholecystectomy does not appear to present a high incidence of hernia. Barbed suture material can be safely applied in wound closure showing comparable incisional hernia incidence to monofilament suture material.

show abstract

Section: Introductionmentioning

confidence: 99%