A large-cohort comparison between single incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy from a single center; 2080 cases

Abstract

Backgrounds/AimsThis study was conducted to verify and compare the safety and feasibility of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC).MethodsA total of 2,080 patients underwent laparoscopic cholecystectomy in a single center, Konyang University Hospital, between 2010 and 2016. We retrospectively compared the demographics, perioperative outcome, and postoperative complication results between the CLC and SILC groups.ResultsAmong the 2,080 patients who underwent laparoscopic cholecystectomy, 1,080 had CLC and 1,000 had SILC. When retrospectively reviewed, the SILC group had significantly higher percentages of patients who were aged under 80 years, who were women, and had the American Society of Anesthesiologist score of lower than 3 points compared to those of the CLC group. Furthermore, the CLC group had a higher percentage of patients with acute cholecystitis or empyema, whereas the SILC group had a higher percentage of patients with chronic cholecystitis. Preoperative percutaneous transhepatic gallbladder drainage insertion or H-vac insertion was more frequently conducted, bleeding loss was more common, and hospital stay was longer in the CLC group. Postoperative complications such as wound infection, biloma, bile duct injury, and duodenal perforation were not significantly different between the two groups.ConclusionsIn conclusion, if performed after preoperative patient selection such as in younger and female patients with no abdominal operation history at the time of benign gallbladder surgery, SILC can be considered feasible and safe without additional complications when compared with CLC.

A Comparative Study of Needlescopic Grasper Assisted Single Incision versus Three-Port versus Pure Single Incision Laparoscopic Cholecystectomy

“…Previous studies have reported post-operative complications such as bile leakage, bile duct injury, surgical site bleeding, urinary and pulmonary infection, wound infection, seroma, hematoma, incisional hernia, and duodenal perforation. 12,[14][15][16] Like the present study, many studies have found no significant difference in complication rate between SILC and conventional laparoscopic cholecystectomy. 3,13,14 Conversely, one study showed that the incidence of postoperative complications in patients who underwent SILC was lower in conventional laparoscopic cholecystectomy.…”

Predictive factors for developing acute cholangitis and cholecystitis in patients undergoing delayed cholecystectomy: a retrospective study

“…In previous reports, in the late stage, chronic inflammation tended to result in firm adhesion of the gallbladder to the surrounding organs, which led to scarring and contraction of pericystic tissues [20][21][22] and increased gallbladder wall thickness. Furthermore, increased preoperative leukocytosis was a statistically significant risk factor for conversion to open surgery [23,24].…”

Initial experiences of robotic SP cholecystectomy: a comparative analysis with robotic Si single-site cholecystectomy

“…From initially being labeled as a gimmick, laparoscopic cholecystectomy has become the gold standard in the management of benign gallbladder disease [1]. The wide acceptance of laparoscopy is due to the established benefits of less postoperative pain, better cosmesis, and shorter length of hospital stay, which translates to earlier recovery [2]. Subsequent studies also showed that the smaller the wound, the lesser the operative stress [3].…”