title: Single incision laparoscopic cholecystectomy: for what benefit?
abstract: BACKGROUND
  A single-incision laparoscopic cholecystectomy (SILC) was developed to improve outcomes as compared with the four-port classic laparoscopic cholecystectomy (CLC). Any potential benefits associated with a SILC have been suggested by previous studies reporting few patients with different surgical techniques. The aim of this study was to describe the experience with a standardized SILC as compared with CLC.
  
  
  METHODS
  From June 2010 to January 2012, 40 patients underwent a SILC [median age: 47.5 years (25-92)] and operative and peri-operative data were prospectively collected. Over the same period, 37 patients underwent a CLC. A 10-point visual analogue scale (VAS) was used for qualitative data. The costs of SILC and CLC were also compared.
  
  
  RESULTS
  For those patients undergoing a SILC the median operating time was 70 min (24-110). There were no conversions. An additional trocar was necessary in 16 patients. Four patients developed post-operative complications. The median immediate post-operative pain score was 5 (0-10). The median quality of life and cosmetic satisfaction at the initial post-operative visit were 10 (6-10) and 10 (5-10), respectively (VAS). Although the surgical results of both groups were similar, post-operative complications were exclusively reported in the SILC group (two incisional hernias).
  
  
  CONCLUSIONS
  Standardization of SILC is possible but associated with an important rate of additional trocar placement and a disturbing rate of incisional hernias.
authors: Department of Minimally Invasive Surgery, Antoine Béclère Hospital, Clamart, France.
authors: Hadrien
authors: H
authors: Tranchart
authors: Serge
authors: S
authors: Ketoff
authors: Panagiotis
authors: P
authors: Lainas
authors: Guillaume
authors: G
authors: Pourcher
authors: Giuseppe
authors: G
authors: Di Giuro
authors: Dimitrios
authors: D
authors: Tzanis
authors: Stefano
authors: S
authors: Ferretti
authors: Antoine
authors: A
authors: Dautruche
authors: Niaz
authors: N
authors: Devaquet
authors: Ibrahim
authors: I
authors: Dagher
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology; D017721:Hospital Costs; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D017060:Patient Satisfaction; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
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