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

Milas, Mate; Deveđija, Sabina; Trkulja, Vladimir

doi:10.1016/j.surge.2014.01.009

Cited by 56 publications

(55 citation statements)

References 58 publications

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“…The present analysis confirms that duration of surgery is longer in SIL-C, compared to conventional laparoscopic cholecystectomy [44][45][46]; the use of linear or curved instruments did not adversely affect this association. Additional ports were more frequently needed when SIL-C was performed with curved, rather than with linear instruments.…”

Section: Discussionsupporting

confidence: 80%

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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Section: Discussionsupporting

confidence: 80%

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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“…The incidence of trocar-site hernia after single port surgery has been mostly investigated as a secondary outcome measure in the setting of RCTs and 3 High Quality metaanalyses were found [138][139][140]. Two meta-analyses of RCTs have found no difference in the incidence of trocarsite hernia between single port and multiple port surgery, although a trend in favour of multiple port surgery was demonstrated [138,139].…”

Section: Single Incision Laparoscopic Surgery and Incisional Herniamentioning

confidence: 99%

“…Two meta-analyses of RCTs have found no difference in the incidence of trocarsite hernia between single port and multiple port surgery, although a trend in favour of multiple port surgery was demonstrated [138,139]. The most recent meta-analysis included 19 RCTs involving 676 patients and found a higher incidence of trocar site hernia following single port surgery [140].…”

Section: Single Incision Laparoscopic Surgery and Incisional Herniamentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

486

374

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“…Single-incision laparoscopic cholecystectomy is largely operator and instrument dependent, and skills of the surgeon may have an influence on the complication rates and outcome (31)(32)(33). Most of the studies report the results of experienced centers and it may not be suitable to extrapolate these findings.…”

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

Cited by 56 publications

References 58 publications

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

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

European Hernia Society guidelines on the closure of abdominal wall incisions

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

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