Single-incision Versus Conventional Laparoscopic Cholecystectomy in Patients With Uncomplicated Gallbladder Disease

Abstract

The current evidence shows that patients with uncomplicated cholelithiasis or polypoid lesions of the gallbladder who prefer a better cosmetic outcome, SILC offers a safe alternative to CLC. Further high-powered randomized trials are need to determine whether SILC truly offer any advantages, especially be focused on failure of technique, adverse events, cosmesis, and quality of life.

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

“…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.…”

Extraumbilical Single-Incision Laparoscopic Cholecystectomy with Standard Laparoscopic Instruments

“…With laparoscopy, the aim is to achieve a better operative outcome with less parietal trauma and faster recovery compared to conventional open surgery. SILS is a rapidly evolving field and offers similar advantages plus cosmesis (14,16,17). Although it has the advantage of lower complexity for clinical application compared to "natural orifice transluminal endoscopic surgery" (NOTES), it still has much more technical difficulties than standard laparoscopic approach (18).…”

The Comparison of Four-Port, Two-Port Without Suspension Suture and Single Port Laparoscopic Cholecystectomy Results

“…No significant difference was found between the LC and SILC groups in terms of post-operative hospitalization duration in recent meta-analysis studies [11,25]. However, the hospitalization duration after 4-port cholecystectomy was reported to be significantly longer than with SILC in certain groups [27,28].…”

“…The main reasons of inadequate surgical technique are the inadequacy or uncertainty in the anatomic image of the Callot's triangle, inadequacy of pneumoperitoneum creation and the failure to control bleeding [25]. While the rate of changing from the laparoscopic method to open surgery is about 10%, the rate of intervention in the surgical technique increases up to 67% due to the more difficult method with a single port [7,26].…”