Single Port Access Laparoscopic Cholecystectomy (with video): Letter to the Editor

Papagoras, Dimitris; Kanara, Maria; Argiropoulos-Rakas, Charilaos; Tsianos, G.V.

doi:10.1007/s00268-010-0678-y

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Concerns have been raised whether the hepatocystic triangle truly can be prepared in SILC using transparietal sutures. 55,56 Such sutures are advocated by 55.6% of authors routinely or selectively. The routine use and number of additional sutures varied considerably depending on the authors' institution and may contribute to the complications if the critical view of safety is suboptimal.…”

Section: Commentmentioning

confidence: 99%

Single-Incision Laparoscopic Cholecystectomy

Hall¹,

Dennison²,

Bilku³

et al. 2012

Arch Surg

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Study Selection:We reviewed all studies identified through MEDLINE. References were cross-checked to ensure capture of cited pertinent articles. Case reports and series of less than 4 cases were excluded.Data Synthesis: In total we analyzed 49 studies, including 2336 patients. Seven studies consisted of randomized trials and 11 of case-matched control series (compared with SLC). The technical aspects of SILC were not standardized. Median follow-up time was 4 weeks, although 27 stud-ies (55.1%) reported no follow-up. The overall median complication rate was 7.37% (range, 0-28.6%), and the overall rate of biliary duct complications was 0.39%. Postoperative pain was similar or worse in SILC compared with SLC in 10 of 13 articles reporting pain outcomes (76.9%). Six articles investigating cosmesis after SILC compared outcomes with those of SLC. Three articles demonstrated significantly improved cosmesis after SILC. Conclusions:The perceived benefits of SILC compared with SLC are improved cosmesis and reduced surgical trauma. No definitive evidence suggests that such improvements can be gained by SILC. Complications are more common, may be underestimated owing to the lack of sufficient follow-up, and may be associated with a shift from safe practice.

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Section: Commentmentioning

confidence: 99%

Single-Incision Laparoscopic Cholecystectomy

Hall¹,

Dennison²,

Bilku³

et al. 2012

Arch Surg

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show abstract

“…We read with interest the letter of Papagoras et al [1] which pointed out several important issues regarding single port access cholecystectomy as described in our article [2]. They raised a question about exposing the gallbladder and hepatoduodenal ligament during single access cholecystectomy, essentially referring to the presented video [2].…”

Section: Figmentioning

confidence: 99%

Single Port Access Laparoscopic Cholecystectomy (with Video): Reply

et al. 2011

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“…[19], weniger Wundinfekte und kürzere Krankenhausaufenthalte werden in der Literatur kontrovers diskutiert [20,21]. Neben den möglichen Vorteilen werden jedoch auch Bedenken hinsichtlich der Sicherheit im Calot'schen Dreieck bei der Single-Port-Methode geäußert [22]. Weiterhin ist es auch denkbar, dass durch die größere transumbilikale Inzision beim Single-Port-Vorgehen die Rate an Narbenhernien steigt [23].…”

Section: Spa-cholezystektomieunclassified