title: Tips for single-port laparoscopic cholecystectomy.
abstract: Single-port laparoscopic cholecystectomy (SPLC) is an emerging technique and gaining increased attention by its superiority in cosmesis. A 1.5-cm vertical transumbilical incision is used for the single port, followed by the glove method. Indications for SPLC are the same as those for standard 4-port laparoscopic cholecystectomy, including patients with morbid obesity, previous upper abdominal surgery, severe acute cholecystitis, or suspected presence of common bile duct stones. Some randomized controlled trials have shown negative results of SPLC regarding operative time, wound-related complications, and postoperative pain. However, our retrospective analysis shows equivalent clinical outcomes among the two approaches in terms of postoperative pain and complications. In this context, SPLC can be a good option for gallbladder pathologies.
authors.affiliation: International Goodwill Hospital, 1-28-1 Nishigaoka, Izumi-ku, Yokohama, Kanagawa, 245-0006, Japan. drkameyama@yahoo.co.jp.
authors.forename: Noriaki
authors.initials: N
authors.lastname: Kameyama
authors.forename: Ryohei
authors.initials: R
authors.lastname: Miyata
authors.forename: Masato
authors.initials: M
authors.lastname: Tomita
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Mitsuhashi
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Baba
authors.forename: Shunichi
authors.initials: S
authors.lastname: Imai
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods* / Q000639:trends; D006801:Humans; D013536:Suture Techniques
keywords: Cholecystectomy; Laparoscopic surgery; Single port