Randomized clinical trial of single-incision laparoscopic cholecystectomy <i>versus</i> minilaparoscopic cholecystectomy

Lee, P.-C.; Lo, Chi-Hsien; Lai, Pen Shen; Chang, Jan-Shun; Huang, Su-Cheng; Lin, Jaw–Town; Lee, P.-H.

doi:10.1002/bjs.7087

Cited by 158 publications

(183 citation statements)

References 19 publications

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“…A mere 2 to 3-mm incision is necessary using needlescopic devices, and the resulting scars are almost invisible. Only one randomized trial has compared needlescopic cholecystectomy with pure single-incision cholecystectomy, reporting a positive effect of the single -incision technique in terms of pain and cosmetic outcomes (19). However, that trial was not blinded.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for an additional port in single-incision laparoscopic cholecystectomy in patients with cholecystitis

Araki

Shirabe²,

Watanabe

et al. 2017

J. Med. Invest.

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: Although single-incision laparoscopic cholecystectomy is now widely performed in patients with cholecystitis, some cases require an additional port to complete the procedure. In this study, we focused on risk factor of additional port in this surgery. We performed single-incision cholecystectomy in 75 patients with acute cholecystitis or after cholecystitis between 2010 and 2014 at Gunma University Hospital. Surgical indications followed the TG13 guidelines. Our standard procedure for single-incision cholecystectomy routinely uses two needlescopic devices. We used logistic regression analysis to identify the risk factors associated with use of an additional full -size port (5 or 10 mm). Surgical outcome was acceptable without biliary injury. Nine patients (12.0% %) required an additional port, and one patient (1.3% %) required conversion to open cholecystectomy because of severe adhesions around the cystic duct and common bile duct. In multivariate analysis, high C-reactive protein (CRP) values ( 7.0 mg/dl) during cholecystitis attacks were significantly correlated with the need for an additional port (P = 0.009), with a sensitivity of 55.6% %, specificity of 98.5% %, and accuracy of 93.3% %. This study indicated that the severe inflammation indicated by high CRP values during cholecystitis attacks predicts the need for an additional port.

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Section: Discussionmentioning

confidence: 99%

Risk factors for an additional port in single-incision laparoscopic cholecystectomy in patients with cholecystitis

Araki

Shirabe²,

Watanabe

et al. 2017

J. Med. Invest.

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“…Our figures suggest that though SILC has lower pain scores, there is no significant difference between the two groups. 12,13,[17][18][19] The final operative site scar at the umbilicus in SILC is cosmetically very acceptable, because after a month of surgery the scar is hardly seen. So is this an answer to scar less surgery?…”

Section: Discussionmentioning

confidence: 99%

To compare single incision laparoscopic cholecystectomy with standard laparoscopic cholecystectomy for treatment of symptomatic cholelithiasis: a prospective randomized study

Gupta¹,

Agarwal²,

Gupta³

et al. 2016

Int Surg J

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“…However, there was no difference in postoperative pain between the two groups on post operative day 1. A randomized trial comparing SPLC with MPLC showed that SPLC and MPLC were similar in terms of postoperative pain and requirement for analgesia [13]. Another study comparing SPLC and MPLC showed that patients in the SPLC group experienced less postoperative pain than those in the MPLC group.…”

Section: Discussionmentioning

confidence: 99%

“…This indicates that patients in the SPLC group were more satisfied with their cosmetic results. A randomized trial comparing SPLC with MPLC showed that SPLC was superior to MPLC in terms of cosmesis [13]. Patient satisfaction scores were also higher in the SPLC group, thereby suggesting that patients in the SPLC group were more satisfied with the overall results of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Single Port Versus Multiple Port Laparoscopic Cholecystectomy—A Comparative Study

et al. 2012

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Single port laparoscopic cholecystectomy (SPLC) was introduced to minimize postoperative morbidity and improve cosmesis. We performed a comparative study to assess feasibility, safety and perceived benefits of SPLC. Two groups of patients (104 each) with comparable demographic characteristics were selected for SPLC and multiport laparoscopic cholecystectomy (MPLC) between May 2010 to March 2011. SPLC was performed using X cone® with 5 mm extra long telescope and 3 ports for hand instruments. MPLC was performed with traditional 4 port technique. A large window was always created during dissection to obtain the critical view of safety. Data collection was prospective. The primary end points were postoperative pain and surgical complications. Secondary end points were patient assessed cosmesis and satisfaction scores and operating time. The mean VAS scores for pain in SPLC group were higher on day 0 (SPLC 3.37 versus MPLC 2.72, p00.03) and equivalent to MPLC group on day 1(SPLC 1.90 versus MPLC 1.79, p 00.06). Number of patients requiring analgesia for breakthrough pain (SPLC 21.1 % versus MPLC 26.9 %, p00.31) was similar. Number and nature of surgical complications was similar (SPLC 17.3 % versus MPLC 21.2 %, p 00.59). Mean patient assessed cosmesis scores (SPLC 7.96 versus MPLC 7.16, p00.003) and mean patient satisfaction scores (SPLC 8.66 versus MPLC 8.16, p00.004) were higher in SPLC group indicating better cosmesis and greater patient satisfaction.

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Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy

Abstract: SILC is superior to MLC in terms of cosmetic outcome, but not in postoperative pain and requirement for analgesics.

Cited by 158 publications

References 19 publications

Risk factors for an additional port in single-incision laparoscopic cholecystectomy in patients with cholecystitis

Risk factors for an additional port in single-incision laparoscopic cholecystectomy in patients with cholecystitis

To compare single incision laparoscopic cholecystectomy with standard laparoscopic cholecystectomy for treatment of symptomatic cholelithiasis: a prospective randomized study

Single Port Versus Multiple Port Laparoscopic Cholecystectomy—A Comparative Study

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