Single-incision laparoscopic cholecystectomy: a systematic review

Antoniou, Stavros A.; Pointner, Rudolph; Granderath, Frank A.

doi:10.1007/s00464-010-1217-5

Cited by 169 publications

(168 citation statements)

References 39 publications

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“…The mean hospital stay was 1.06 days (range 1-4 days). In the review by Antoniou et al [8], SILC was unsuccessful in 9.3 % of the patients. The most common causes for failure were obscure anatomy at the Callot's triangle, inadequate exposure of the Callot's triangle due to insufficient gall bladder retraction and inability to maintain pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 98%

Transumbilical SILC Using Conventional Laparoscopic Instruments—Initial Experience in a Resource-Limited Setting

2013

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In the era of minimal access, single-incision laparoscopic surgery is gaining popularity. Expensive ports, disposable hand instruments and flexible endoscopes have been utilised, but they increase the cost of operation. We report our initial experience of two-trocar single-incision laparoscopic cholecystectomy (SILC) in 70 patients using conventional instruments that can be adapted as a novel technique in achieving minimal trauma and aesthetic results in resourcelimited hospitals. Between September 2011 and September 2012, 70 consecutive patients underwent an attempted SILC in a single centre. The mean age of the patients was 42 years (range 18-65 years). There were 12 males and 58 females with a male-to-female ratio of 1:4.8. Transumbilical incision was used to access the abdomen, and two 10-mm ports/ trocars were placed through the single incision side by side, maintaining a facial bridge of 5-8 mm in between. Gall bladder was manipulated through two strategically placed traction sutures to expose the Callot's triangle. Mean operation time in our series was 42.12 min (range 22-90 min). There was no need of additional sutures. Bleeding was minimal in nearly all cases. The mean hospital stay was 1.06 days (range 1-4 days). The post-operative analgesic requirement was one dose in 60.4 % patients. Additional port was required in two of our patients. Two patients needed conversion to open surgery. There was no major complication or mortality in our series. This technique of two-trocar SILC using conventional instruments can be adapted as a less invasive surgical procedure in resource-limited hospitals in selected group of patients. Cosmetic result, reduced pain, short hospital stay and the degree of satisfaction appear to be significant with this technique.

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Section: Discussionmentioning

confidence: 98%

Transumbilical SILC Using Conventional Laparoscopic Instruments—Initial Experience in a Resource-Limited Setting

2013

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“…However, in our study, patients were carefully selected to ensure that difficult cholecystectomies were excluded. A systematic review of 29 studies, including a total of 1,166 patients undergoing SILC, reported intraoperative complication rates up to 20 % with a cumulative rate of 2.7 % [15]. The most common complications reported were gallbladder perforation/bile slippage, hematoma, bile leakage, and residual choledocholithiasis.…”

Section: Discussionmentioning

confidence: 99%

Single Port Versus Multiple Port Laparoscopic Cholecystectomy—A Comparative Study

et al. 2012

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Single port laparoscopic cholecystectomy (SPLC) was introduced to minimize postoperative morbidity and improve cosmesis. We performed a comparative study to assess feasibility, safety and perceived benefits of SPLC. Two groups of patients (104 each) with comparable demographic characteristics were selected for SPLC and multiport laparoscopic cholecystectomy (MPLC) between May 2010 to March 2011. SPLC was performed using X cone® with 5 mm extra long telescope and 3 ports for hand instruments. MPLC was performed with traditional 4 port technique. A large window was always created during dissection to obtain the critical view of safety. Data collection was prospective. The primary end points were postoperative pain and surgical complications. Secondary end points were patient assessed cosmesis and satisfaction scores and operating time. The mean VAS scores for pain in SPLC group were higher on day 0 (SPLC 3.37 versus MPLC 2.72, p00.03) and equivalent to MPLC group on day 1(SPLC 1.90 versus MPLC 1.79, p 00.06). Number of patients requiring analgesia for breakthrough pain (SPLC 21.1 % versus MPLC 26.9 %, p00.31) was similar. Number and nature of surgical complications was similar (SPLC 17.3 % versus MPLC 21.2 %, p 00.59). Mean patient assessed cosmesis scores (SPLC 7.96 versus MPLC 7.16, p00.003) and mean patient satisfaction scores (SPLC 8.66 versus MPLC 8.16, p00.004) were higher in SPLC group indicating better cosmesis and greater patient satisfaction.

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“…Antoniou и соавт. [40] анализировали 1166 ХЭ из ЕЛД и определили, что частота осложнений со-ставляет не более 6,2%, время вмешательств -от 30 до 150 мин при средней длительности 70 мин.…”

Section: рис 8 манипуляции «ловкого» мини-робота при трансгастральнunclassified

Cholecystectomy: evolution of laparoscopic approach

Михин¹,

Kuhktenko²,

Доронин³

2015

Endosk. khir.

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Single-incision laparoscopic cholecystectomy: a systematic review

Abstract: The clinical application of SILC exhibited satisfactory results. Cases of acute cholecystitis and older patients should be approached with caution, whereas improvement of the instrumentation is necessary.

Cited by 169 publications

References 39 publications

Transumbilical SILC Using Conventional Laparoscopic Instruments—Initial Experience in a Resource-Limited Setting

Transumbilical SILC Using Conventional Laparoscopic Instruments—Initial Experience in a Resource-Limited Setting

Single Port Versus Multiple Port Laparoscopic Cholecystectomy—A Comparative Study

Cholecystectomy: evolution of laparoscopic approach

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