Single-incision results in similar pain and quality of life scores compared with multi-incision laparoscopic cholecystectomy: A blinded prospective randomized trial of 100 patients

Zapf, Matthew; Yetasook, Amy; Leung, Denis H. Y.; Salabat, Reza; Denham, Woody; Barrera, Ermilo; Butt, Zeeshan; Carbray, JoAnn; Du, Hongwu; Wang, Chih E.; Ujiki, Michael

doi:10.1016/j.surg.2013.04.043

Cited by 30 publications

(37 citation statements)

References 21 publications

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“…Most of the studies report the results of experienced centers and it may not be suitable to extrapolate these findings. In these studies, postoperative pain, duration of the operation, cosmetic results and incisional hernia development were rather studied in more detail (34)(35)(36). Additionally, long term results are lacking in many reports (37)(38)(39).…”

Section: E) Is the Risk Of Biliary Injury Increased In Single-incisiomentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

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Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

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Section: E) Is the Risk Of Biliary Injury Increased In Single-incisiomentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

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“…All but four were single-center trials [33,[35][36][37]. Twenty-two were published in the English language, and one was published in Spanish, which was translated by a Spanish native-speaking author [29].…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

et al. 2015

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Single-incision laparoscopic cholecystectomy with curved instruments may be associated with an increased level of operative difficulty, as reflected by the need for auxiliary measures for exposure and increased operative time as compared to the use of linear instruments. Current instrumentation requires further improvement, tailored to the features of single-incision laparoscopic surgery (CRD42015015721).

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“…The open surgical procedure with a large incision (OC) [1] has been succeeded by small incision open cholecystectomy (SIOC) [2, 3], laparoscopic cholecystectomy [4], single port laparoscopic cholecystectomy technique [5, 6], robotic cholecystectomy [7], and single port robotic cholecystectomy [8]. It is essential to scrutinise such changes in surgical technology in terms of cost and quality of life, to ensure fair distribution of resources.…”

Section: Introductionmentioning

confidence: 99%

Costs and quality of life of small-incision open cholecystectomy and laparoscopic cholecystectomy - an expertise-based randomised controlled trial

et al. 2017

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BackgroundHealth care providers need solid evidence based data on cost differences between alternative surgical procedures for common surgical disorders. We aimed to compare small-incision open cholecystectomy (SIOC) and laparoscopic cholecystectomy (LC) concerning costs and health-related quality of life using data from an expertise-based randomised controlled trial.MethodsPatients scheduled for cholecystectomy were assigned to undergo LC or SIOC performed by surgeons in two different expert groups. Total costs were calculated in USD. Reusable instruments were assumed for the cost analysis. Quality of life was measured using the EuroQol 5-D 3-L (EQ 5-D-3L), at five postoperative time points and calculated to Area Under Curve (AUC) for 1 year postoperatively. Two hospitals participated in the trial, which included both emergency and elective surgery.ResultsOf 477 patients that underwent a cholecystectomy during the study period, 355 (74.9%) were randomised and 323 analysed, 172 LC and 151 SIOC patients. Both direct and total costs were less for SIOC than for LC patients. The total costs were 5429 (4293–6932) USD for LC and 4636 (3905–5746) USD for SIOC, P = 0.001. The quality of life index did not differ between the LC and SIOC groups at any time. Median values (25th and 75th percentiles (p25-p75)) for AUC at 1 year were as follows: 349 (337–351) for LC and 349 (338–350) for SIOC.ConclusionsIn this expertise-based randomised controlled trial LC was a more costly procedure and quality of life did not differ after SIOC and LC. (ClinicalTrials.gov Identifier: NCT00370344, August 30, 2006).Electronic supplementary materialThe online version of this article (doi:10.1186/s12876-017-0601-1) contains supplementary material, which is available to authorized users.

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Single-incision results in similar pain and quality of life scores compared with multi-incision laparoscopic cholecystectomy: A blinded prospective randomized trial of 100 patients

Cited by 30 publications

References 21 publications

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Single-incision laparoscopic cholecystectomy with curved versus linear instruments assessed by systematic review and network meta-analysis of randomized trials

Costs and quality of life of small-incision open cholecystectomy and laparoscopic cholecystectomy - an expertise-based randomised controlled trial

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