Single-incision laparoscopic cholecystectomy: a cost comparison

Love, Katie M.; Durham, Christopher A.; Meara, Michael P.; Mays, Ashley C.; Bower, Curtis E.

doi:10.1007/s00464-010-1433-z

Cited by 38 publications

(19 citation statements)

References 29 publications

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“…Economic considerations must also be factored in when considering the merits of SILS cholecystectomy. Two studies have reported similar operative costs associated with SILS compared to standard multiport cholecystectomy [15,16]. Further studies on this topic should focus on the economic considerations associated with SILS cholecystectomy to factor in operating time and length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis

et al. 2011

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The results of this meta-analysis demonstrate that single-incision laparoscopic cholecystectomy is a safe procedure for the treatment of uncomplicated gallstone disease, with postoperative outcome similar to that of standard multiport laparoscopic cholecystectomy. Future high-powered randomized studies should be focused on elucidating subtle differences in postoperative complications, reported postoperative pain, and cosmesis following SILS cholecystectomy in more severe biliary disease.

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Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis

et al. 2011

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“…Others have shown no difference in postoperative pain [13,14], length of hospital stay [15], and even systemic stress response proteins [16]. Early cost comparisons between SILC and 4PLC show no difference when comparing total operating room costs and total operating room charges [17]. Although small in number, these studies highlight the potential benefits for SILC.…”

mentioning

confidence: 86%

Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy

et al. 2011

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In this multicenter randomized controlled trial of SILC versus 4PLC, SILC appears to be safe with a similar biliary complication profile. Pain scores and wound complication rates are higher for SILC; however, cosmesis scores favored SILC. For patients preferring a better cosmetic outcome and willing to accept possible increased postoperative pain, SILC offers a safe alternative to the standard 4PLC. Further follow-up is needed to detail the long-term risk of wound morbidities, including hernia recurrence.

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“…Single incision gastrectomy (SIG) usually requires least number of personnel, only one scopist and scrub nurse, in operating theatre. This procedure might receive any attention as "economically-efficient" surgery for a while (41,42). However, low competency for intraoperative accidents including critical bleeding in SIDG is inevitable which is similar or more serious situation to that in transition period from open surgery to early laparoscopic surgery.…”

Section: Outcome and Understandingmentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

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Based on rapid development of laparoscopic techniques and instruments, single-incision laparoscopic surgery (SILS) is expected to be the next step of "more" minimally invasive surgery. A few institutions gradually started to report their experience of single incision gastrectomy (SIG) for gastric cancer, but it is still difficult to accept that SIG can be performed as a popular procedure because of its technical difficulty. For wide adoption of SIG, the simplicity, safety and reproducibility of not only lymph node dissection but also reconstruction should be evaluated compared to a conventional procedure. With a thorough understanding of unique characteristics of SILS, single incision distal gastrectomy (SIDG) for early gastric cancer performed by laparoscopic surgeons with advanced technique is expected to have promising potential about excellent cosmesis, comparable morbidity and mortality in carefully selected patients. For appropriate adoption and steady progress of this state-of-the art surgery, scientific evaluation with healthy critics is necessary with new generation of SILS instrument platform.

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Single-incision laparoscopic cholecystectomy: a cost comparison

Abstract: The cost for SILC did not differ significantly from that for LC when standard materials were used and the duration of the procedure was considered. Converted cases were significantly more expensive than completed SILC and LC cases.

Cited by 38 publications

References 29 publications

Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis

Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis

Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy

Single incision gastrectomy for gastric cancer

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