Transumbilical single-incision laparoscopic cholecystectomy: long-term review from a single center

Wu, Shuodong; Lv, Chao; Tian, Yu; Fan, Ying; Yu, Hong; Kong, Jing; Li, Yongnan; Yu, Xin; Yao, Dianbo; Chen, Yongsheng; Han, Jiahuai

doi:10.1007/s00464-015-4618-7

Cited by 4 publications

(3 citation statements)

References 73 publications

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“…Since SPLC was first introduced in the 1990s,[ 6 19 ] it has gained attention as an alternative minimally invasive surgery compared to conventional three-port cholecystectomy. Even short learning curve[ 20 21 ] and many advantages[ 8 9 10 12 13 ] are associated with this procedure, SPLC has been prone to higher incidences of post-operative complications. Many systemic reviews of complications have been published[ 5 13 22 ] and controversy remains relative to safety and feasibility issues compared to CLC.…”

Section: Discussionmentioning

confidence: 99%

“…[ 28 29 30 ] The incidence of wound infection in this study (2.7%) is comparable to or even lower than that published in other research papers (range, 1.05–14.3). [ 13 25 28 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 ] Since then, many studies support results of SPLC that it is theoretically advantageous for improving cosmesis, fast recovery and light intra-abdominal adhesion, so patients prefer minimally invasive surgery instead of CLC. [ 8 9 10 12 13 ]…”

Section: Introductionmentioning

confidence: 99%

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Analysis of post-operative complication in single-port laparoscopic cholecystectomy: A retrospective analysis in 817 cases from a surgeon

et al. 2018

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Background:Single-port laparoscopic cholecystectomy (SPLC) is a new advanced technique in laparoscopic surgery which has many benefits according to previous reports. The purpose of this study was to present personal experiences with SPLC in >800 cases performed by a surgeon to evaluate the safety and feasibility of this procedure.Materials and Methods:A retrospective review of 817 cases of SPLC was conducted. All patients had received elective SPLC by a surgeon in our centre during March 2009–August 2015. Our review suggests patients’ character, peri-operative data and post-operative outcome.Results:Three hundred and ninety-eight men (48.7%) and 419 women (51.3%) with an average age of 48.3 years had received SPLC. Their mean body mass index (BMI) was 23.75 kg/m2. The mean operating time took 46.9 min (19–130). Seventy-nine cases (9.7%) needed additional port during operation. BMI, age and previous abdominal surgical history did not affect conversion to multiport surgery. Bile spillage during operation occurred in 73 cases (8.9%). There were 4 cases of open conversion because of bleeding (2 cases, 0.2%) and common bile duct (CBD) injury (2 cases, 0.2%). Mean duration of hospital stay was 2.36 days. We have experienced 38 cases (4.7%) of post-operative complication: 8 cases (1.0%) of major one and 30 cases (3.7%) of minor one. Major complication occurred in 3 cases (0.4%) of retained CBD stone, 3 cases (0.4%) of cystic duct leakage needed endoscopic retrograde cholangiopancreatography and 2 cases (0.2%) of CBD injury needed reoperation. Most minor complications were wound infections that have healed after conservative treatment. There were no post-operative mortalities.Conclusion:SPLC is a safe and practicable technique. With surgical experience, criteria and area of SPLC can be broadened. SPLC is occupying a greater domain of a laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

“…[ 28 29 30 ] The incidence of wound infection in this study (2.7%) is comparable to or even lower than that published in other research papers (range, 1.05–14.3). [ 13 25 28 ]…”

Section: Discussionmentioning

confidence: 99%

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Analysis of post-operative complication in single-port laparoscopic cholecystectomy: A retrospective analysis in 817 cases from a surgeon

et al. 2018

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Low long-term incidence of incisional hernia after cholecystectomy: A systematic review with meta-analysis

Jensen

Fonnes

Gram-Hanssen

et al. 2021

Surgery

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Is Single-incision Laparoscopic Cholecystectomy Feasible for Acute Cholecystitis? A Consecutive Study of 60 Cases

Koizumi

Kobayashi²,

Takagi³

et al. 2017

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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The feasibility of single-incision laparoscopic cholecystectomy (SIL-C) for patients with acute cholecystitis were evaluated based on the timing of operation after onset of symptoms. Sixty patients with acute cholecystitis who underwent SIL-C were divided into 2 groups according to the timing of operation: group E included 23 patients who underwent SIL-C within 72 hours, and group O included 37 patients who underwent SIL-C later. There were no statistical differences between group E and group O in clinicopathologic characteristics. Group E demonstrated significantly shorter operating time and less blood loss than group O. Although the incidences of additional port(s) requirements were not significantly different, 8 patients in group O required open conversion, indicating significantly higher rate. As group E demonstrated favorable surgical outcomes compared with group O, SIL-C for acute cholecystitis seems to be a feasible therapeutic procedure when performed within 72 hours as updated Tokyo Guidelines recommended.

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Transumbilical single-incision laparoscopic cholecystectomy: long-term review from a single center

Abstract: SILC via traditional devices is feasible and safe with acceptable postoperative incidence rate in the long run. Patients with older age or female gender, who have no severe systemic diseases, tend to benefit more from the surgical intervention.

Cited by 4 publications

References 73 publications

Analysis of post-operative complication in single-port laparoscopic cholecystectomy: A retrospective analysis in 817 cases from a surgeon

Analysis of post-operative complication in single-port laparoscopic cholecystectomy: A retrospective analysis in 817 cases from a surgeon

Low long-term incidence of incisional hernia after cholecystectomy: A systematic review with meta-analysis

Is Single-incision Laparoscopic Cholecystectomy Feasible for Acute Cholecystitis? A Consecutive Study of 60 Cases

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