Is single-incision laparoscopic cholecystectomy safe? Results of a systematic review and meta-analysis

Arezzo, Alberto; Scozzari, Gitana; Famiglietti, Federico; Passera, Roberto; Morino, Mario

doi:10.1007/s00464-012-2763-9

Cited by 74 publications

(72 citation statements)

References 32 publications

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“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Milas¹,

Deveđija²,

Trkulja³

2014

The Surgeon

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Section: Resultsmentioning

confidence: 99%

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

Milas¹,

Deveđija²,

Trkulja³

2014

The Surgeon

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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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“…NOTES and single-incision laparoscopic surgery (SILS) may be considered further steps toward minimization of surgical trauma, although these methods have not yet been standardized 4 . Arezzo et al 5 show as in selected patients underwent cholecystectomy, Single Incision Laparoscopic Cholecystectomy (SILC) has similar overall morbidity compared with Multiple Incision Laparoscopic Cholecystectomy (MILC); further, it results in better cosmetic satisfaction and reduced postoperative pain despite longer operative time. During the last twenty-five years, principles of minimally invasive surgery changed radically the way to perform most of abdominal operations like cholecystectomy, gastric bypass and colon resection.…”

Section: Introductionmentioning

confidence: 99%

A magnetic levitation robotic camera for minimally invasive surgery: Useful for NOTES?

et al. 2016

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Is single-incision laparoscopic cholecystectomy safe? Results of a systematic review and meta-analysis

Abstract: In selected patients, SILC has similar overall morbidity compared with MILC; further, it results in better cosmetic satisfaction and reduced postoperative pain despite longer operative time.

Cited by 74 publications

References 32 publications

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

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

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

A magnetic levitation robotic camera for minimally invasive surgery: Useful for NOTES?

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