Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Shu Hung Chuang, Wen Jui Yang, Chih Ming Chang, Chih-Sheng Lin, Meng Ching Yeh*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background Single-incision laparoscopic cholecystectomy (SILC) has been shown to be safe for uncomplicated gallbladder diseases. Routinely applying SILC is debatable. Methods Two hundred SILCs were performed with single-incision multiple-port longitudinal-array and self-camera techniques. Results Eighty-eight (44%) procedures were scheduled for complicated diseases. The routine group had a higher comorbidity rate, a lower preoperative endoscopic retrograde cholangiopancreatography rate, a higher intraoperative cholangiography rate, a higher proportion of complicated gallbladder diseases, shorter operative time, more intraoperative blood loss, and lower postoperative pethidine dose than the selective group (the first 73 patients). The conversion and complication rates showed no statistical difference. It took fewer cases but longer time to pass the learning phase of SILC for complicated gallbladder diseases. The multivariate analysis showed that male sex and complicated gallbladder diseases were associated with a higher procedure conversion rate, and increased patient age was related to a higher complication rate. Conclusions Routine SILC for benign gallbladder diseases is feasible in the experienced phase. Practicing SILC for uncomplicated gallbladder diseases helps to achieve competence in this technique for complicated diseases.

Original languageEnglish
Pages (from-to)315-321
Number of pages7
JournalAmerican Journal of Surgery
Volume210
Issue number2
DOIs
StatePublished - 1 Aug 2015

Keywords

  • Cholecystitis
  • Gallbladder disease
  • Laparoendoscopic single-site cholecystectomy
  • Learning curve
  • Routine
  • Single-incision laparoscopic cholecystectomy

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