title: A retrospective wound review of standard four-port laparoscopic cholecystectomy: is there need for single-port laparoscopic surgery?
abstract: BACKGROUND
  This study was designed to assess the satisfaction or otherwise of a proportion of the U.K. population who have undergone standard four-port laparoscopic cholecystectomy within the past 18 months. The results should indicate whether there is potential demand for a new, improved approach to surgery.
  
  
  METHODS
  Patients who underwent laparoscopic cholecystectomy between October 2008 and October 2009 in two geographically separated general hospitals were identified from hospital databases. Notes were reviewed to confirm the technique and lack of conversion to an open procedure. Those who had immediate complications were excluded. A telephone questionnaire was conducted to answer questions related to long-term cosmetic and general satisfaction of the current procedure.
  
  
  RESULTS
  Of the patients surveyed, 93% were happy or extremely happy with the current procedure, 48% experienced some wound-related issues (pain, infection), and 65% of those were at the umbilicus (a possible reflection of location and retrieval site for gallbladder). Cosmesis was rated less important than hospital cleanliness and experience of the surgeon.
  
  
  CONCLUSIONS
  Overall satisfaction was high with the existing technique. The high rate of umbilical wound problems is an issue that will not be eradicated by introduction of single-port laparoscopic surgery.
authors.affiliation: Department of Upper GI Surgery, Gloucestershire Royal Hospital, Gloucester, GL1 3NN, UK. sjwmonkhouse@hotmail.com
authors.forename: S J W
authors.initials: SJ
authors.lastname: Monkhouse
authors.forename: E L
authors.initials: EL
authors.lastname: Court
authors.forename: L A
authors.initials: LA
authors.lastname: Beard
authors.forename: J
authors.initials: J
authors.lastname: Bunni
authors.forename: P
authors.initials: P
authors.lastname: Burgess
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods* / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D058106:Wound Closure Techniques; D055815:Young Adult