Single‐Incision Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy: Meta‐analysis and Systematic Review of Randomized Controlled Trials

Sajid, M. S.; Ladwa, N.; Kalra, L.; Hutson, Kristian; Singh, Krishna K.; Sayegh, Mazin

doi:10.1007/s00268-012-1719-5

Cited by 63 publications

(45 citation statements)

References 64 publications

(172 reference statements)

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“…[25] Several studies have demonstrated that less postoperative pain is associated with a reduction in either size or number of trocars. [18,19,22,24] However, other studies have claimed that the diminished port technique did not reduce the overall pain score or [1,3,9,20,21,26,27] In the current study, we failed to demonstrate any difference in terms of overall pain score 12 and 24 hours after surgery or in analgesic requirements among the four groups.…”

Section: Discussioncontrasting

confidence: 51%

Is the number of trocars important in laparoscopic cholecystectomy?

Moran¹

2017

Laparosc Endosc Surg Sci

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Introduction: Laparoscopic cholecystectomy (LC) is the criterion standard for cholelithiasis. There have been some changes in LC technique, one of which was a reduction in the number of trocars used. The aim of the present study was to explore the feasibility of reducing the number of ports in cases of LC without compromising safety, and to evaluate the benefits associated in terms of pain, recovery, and patient satisfaction.

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Section: Discussioncontrasting

confidence: 51%

Is the number of trocars important in laparoscopic cholecystectomy?

Moran¹

2017

Laparosc Endosc Surg Sci

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“…The present systematic review embraced 30 RCTs 35-64 comparing SILC to MLC in adult patients (N=2411), more than any of the previously published similar reports [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] . Despite the fact that the overall trial quality is "far from ideal", a fairly reasonable evidence-based assessment of SILC is possible.…”

Section: Resultsmentioning

confidence: 99%

Single incision versus standard multiport laparoscopic cholecystectomy: Up-dated systematic review and meta-analysis of randomized trials

Milas¹,

Deveđija²,

Trkulja³

2014

The Surgeon

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“…In a recent meta-analysis comparing LC vs. SILC, 11 randomized controlled trials with 858 patients were analyzed (9). Postoperative pain, complications, LOS, cosmetic score, conversion rate, need for additional port placement, and time to return to normal activities were found to be similar in both groups, while SILC was associated with significantly longer operation times.…”

Section: Discussionmentioning

confidence: 99%

Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy

Aktimur

Güzel

Çetinkünar

et al. 2016

UCD

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Objective: We aimed to investigate the technical feasibility of single-incision laparoscopic cholecystectomy (SILC) with our new facilitative maneuver and to compare it with the gold standard four-port laparoscopic cholecystectomy (LC). Material and Methods:Operation time, cosmetic score and incisional hernia rates between LC (n=20) and SILC-1 (first 20 consecutive operations with the new technique) and 2 (subsequent 20 operations with the new technique) were compared. Results:The median operation time for LC, SILC-1 and SILC-2 were; 35 min (12-75), 47.5 min (30-70), and 30 min (12-80), respectively (p=0.005). The operation duration was similar in LC and SILC-2 (p=0.277) groups. Wound seroma rate was higher in SILC-1 (45%) and SILC-2 (30%) groups than LC (5%) group (p=0.010). Cosmetic score was similar between all the groups. Hernia rates were 15.8% and 5.3% in the SILC-1 and SILC-2 groups, respectively, while there was no hernia in the LC group.Conclusion: SILC with new facilitating maneuver is comparable with classical four-port laparoscopic cholecystectomy in terms of ease, operation time, reproducibility and safety. Besides these advantages, the single-incision access technique must be optimized to provide comparable wound complication and postoperative hernia rates before being recommended to patients.

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Single‐Incision Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy: Meta‐analysis and Systematic Review of Randomized Controlled Trials

Abstract: SILC does not offer any advantage over CLC for treating benign gallbladder disorders. CLC may be used assiduously for this purpose.

Cited by 63 publications

References 64 publications

Is the number of trocars important in laparoscopic cholecystectomy?

Is the number of trocars important in laparoscopic cholecystectomy?

Single incision versus standard multiport laparoscopic cholecystectomy: Up-dated systematic review and meta-analysis of randomized trials

Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy

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