Comparison between single-incision and conventional laparoscopic cholecystectomy: a prospective trial of the Club Coelio

Hauters, P.; Auvray, Sylvain; Cardin, Jean Luc; Papillon, M; Delaby, J; Dabrowski, André; Framery, D.; Valverde, A.; Rubay, R.; Siriser, F.; Malvaux, P.; Landenne, J.

doi:10.1007/s00464-012-2657-x

Cited by 19 publications

(8 citation statements)

References 31 publications

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“…13,14 Single-incision laparoscopic cholecystectomy compared to MILC has the same or longer operation time, equivalent morbidity and quality of life. [6][7][8][9][10]14 The cosmetic results 2,3,9,14 and global patient satisfaction 6 are rated excellent by the patients undergone SILC. Despite higher complication rate in initial cases has been reported in some papers, 5 SILC remain a safe, although technically more challenging alternative to traditional MILC.…”

Section: Discussionmentioning

confidence: 96%

Single-incision Laparoscopic Cholecystectomy. How can We Reduce the Costs? Presentation of a Technique using Straight Non-articulating Instruments and One Conventional Trocar, without Commercially Available Single Port Devices

Sułkowski¹,

Pasternak²,

Szura³

et al. 2015

WJOLS

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Single-incision laparoscopic surgery (SILS) offers an approach to cholecystectomy without visible evidence that the cholecystectomy occurred. 9 Cosmesis is the only documented benefit of the single-incision laparoscopic cholecystectomy (SILC), while SILC remains equivalent to multi-incision laparoscopic cholecystectomy (MILC) in all other respects. 14 We report our experience of performing SILC without any commercially available port devices allowing laparoscopic instrument placement. We use conventional, straight, nonarticulating laparoscopic instruments with a roticulating function and only one conventional 10 mm trocar. Single-incision laparoscopic cholecystectomy has a potential to maximize benefits of MILC. 12 Our procedure, without any port device, is a reliable, low-cost alternative to conventional SILC, offering the same level of patient safety and cosmesis.

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Section: Discussionmentioning

confidence: 96%

Single-incision Laparoscopic Cholecystectomy. How can We Reduce the Costs? Presentation of a Technique using Straight Non-articulating Instruments and One Conventional Trocar, without Commercially Available Single Port Devices

Sułkowski¹,

Pasternak²,

Szura³

et al. 2015

WJOLS

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“…We used a 5-grade Likert scale to assess the cosmetic result. This method was already used in previous studies evaluating the cosmetical outcome after procedures by plastic surgeons [ 36 , 37 ], but also after cholecystectomies [ 38 ]. By using a similar tool to measure the cosmetical outcome, we aimed to build a basis for comparison with other studies, which is, unfortunately, measured differently within several studies and therefore drawing comparisons is impeded.…”

Section: Limitationsmentioning

confidence: 99%

Suprapubic Cholecystectomy Improves Cosmetic Outcome Compared to Classic Cholecystectomy

Taha

Taha‐Mehlitz²,

Sternkopf

et al. 2022

JCM

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Currently, cholecystectomy is performed laparoscopically. While the conventional approach (CA) with four access ports persists, other methods seek to reduce trauma or to optimize cosmetic results. In this study, the safety and cosmetic outcome of a suprapubic approach (SA) were evaluated. Between 2015 and 2016, patients undergoing elective cholecystectomy either by CA or by a suprapubic approach (SA) at our institution were included. The cosmetic outcome, postoperative morbidity, operative time and length of stay were evaluated. Pictures of the site of intervention were taken 6–12 months postoperatively and rated on a scale from 1 (unsatisfying aesthetic result) to 5 (excellent aesthetic result). Five “non-medical” and five “medical” raters as well as one board-certified plastic surgeon performed the ratings. A total of 70 patients were included (n = 28 SA, n = 42 CA). The two groups did not differ in baseline characteristics (age, gender, BMI). The SA group showed a significantly better aesthetic outcome compared to the CA group 4.8 (4.8–4.9) vs. 4.2 (3.8–4.4), (p > 0.001). Medical raters: 4.0 (3.8–4.2) vs. 4.8 (4.6–5.0), (p < 0.001); non-medical raters: 4.2 (3.8–4.6) vs. 5.0 (4.8–5.0), (p < 0.001); plastic surgeon: 4.0 (4.0–4.0) vs. 5.0 (5.0–5.0), (p < 0.001). Fair interrater consistency was demonstrated with an ICC of 0.47 (95% CI = 0.38–0.57). No significant difference in the complication rate (1 (3.5%) in SA vs. 6 (14%) in CA, (p = 0.3)), or the operating time 66 (50–86) vs. 70 (65–82) min, (p = 0.3), were observed. Patients stayed for a median of three (3–3) days in the SA group and 3 (3–4) days in the CA group (p = 0.08). This study demonstrated that the suprapubic approach is an appropriate alternative to conventional laparoscopic cholecystectomy, presenting a better cosmetic outcome with a similar complication rate.

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“…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

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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.

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Comparison between single-incision and conventional laparoscopic cholecystectomy: a prospective trial of the Club Coelio

Abstract: Compared to CLC, SILC is associated with a longer operative time, an equivalent morbidity and QOL, and a better cosmetic result. The improved aesthetic result also leads to a better global patient satisfaction.

Cited by 19 publications

References 31 publications

Single-incision Laparoscopic Cholecystectomy. How can We Reduce the Costs? Presentation of a Technique using Straight Non-articulating Instruments and One Conventional Trocar, without Commercially Available Single Port Devices

Single-incision Laparoscopic Cholecystectomy. How can We Reduce the Costs? Presentation of a Technique using Straight Non-articulating Instruments and One Conventional Trocar, without Commercially Available Single Port Devices

Suprapubic Cholecystectomy Improves Cosmetic Outcome Compared to Classic Cholecystectomy

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

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