Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy

The British Journal of Surgery
P-C LeeP-H Lee

Abstract

Transumbilical single-incision laparoscopic cholecystectomy (SILC) and minilaparoscopic cholecystectomy (MLC) are both increasingly being used to treat symptomatic gallstones. The present study compared SILC and MLC with respect to outcome in a prospective randomized trial. Seventy patients with symptomatic cholelithiasis were randomized to SILC or MLC (35 in each group). The primary outcome measure was postoperative pain. Secondary outcomes were duration of operation, complications, postoperative analgesic requirements, length of hospital stay, cosmetic result, wound length and time to return to work. Surgical complications, postoperative pain scores, analgesic requirements and time to return to work were similar for both procedures. Statistically significant advantages of SILC were a shorter hospital stay, shorter total wound length and better cosmetic appearance. Duration of operation was significantly shorter for MLC. SILC is superior to MLC in terms of cosmetic outcome, but not in postoperative pain and requirement for analgesics.

References

Aug 1, 1997·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·R H YuanS C Yu
Oct 9, 2004·Gastrointestinal Endoscopy·Gurpal S SandhaPaul P Kortan
Mar 21, 2007·Archives of Surgery·Sebastian G de la FuenteAurora D Pryor
Aug 21, 2007·Surgical Endoscopy·Daniel J ScottJeffrey A Cadeddu
Sep 19, 2007·Archives of Surgery·Jacques MarescauxDimitri Coumaros
Feb 5, 2008·Urology·Jihad H KaoukInderbir S Gill
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Antonello ForgioneRaffaele Pugliese
Jul 24, 2008·Surgical Endoscopy·Jiang Fan ZhuFeng Li
Aug 19, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew A GumbsMarc Bessler
Oct 31, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Aziz M MerchantEdward Lin
Nov 26, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Steven E HodgettAlexander S Rosemurgy
Mar 6, 2009·Surgical Endoscopy·Thomas E LangwielerMelanie Back
Jul 11, 2009·The British Journal of Surgery·T SammourA G Hill

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Citations

Nov 30, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sébastien GaujouxYves Panis
May 15, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pankaj GargGeetha R Menon
Jul 7, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adolfo PisanuAlessandro Uccheddu
Jun 5, 2013·The Indian Journal of Surgery·Brij B AgarwalKrishan C Mahajan
Jan 16, 2014·The Indian Journal of Surgery·A SharmaP K Chowbey
Oct 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Katica KrajinovicJoachim Reibetanz
Dec 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James Scott PollardIrfan Ahmed
Dec 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Pankaj GargVikas Gupta
Dec 14, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xiang-Song WuYing-Bin Liu
Oct 2, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jianguo QiuHong Wu
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Irfan AhmedHelmut Weiss
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pankaj GargVikas Gupta
Aug 10, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Joachim ReibetanzKatica Krajinovic
Oct 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Akira SasakiGo Wakabayashi
Dec 15, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Lixiao HaoZuoxiang Li
Nov 18, 2011·Minimally Invasive Surgery·Tomohiko AdachiTamotsu Kuroki
Aug 18, 2012·Minimally Invasive Surgery·Saidul IslamAnies A Mahomed
Oct 20, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Giovanni DapriVincent Donckier
Jul 20, 2012·Journal of Medical Case Reports·Akira SasakiGo Wakabayashi
Feb 2, 2013·World Journal of Gastroenterology : WJG·Ming-Xin PanYi Gao
Nov 28, 2013·World Journal of Gastroenterology : WJG·Shu-Hung ChuangChih-Sheng Lin
Jan 5, 2011·Journal of Minimal Access Surgery·Deepraj BhandarkarTehemton E Udwadia
Jan 9, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Sigi P JosephKimberly Brown
Dec 19, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shu-Hung ChuangChih-Sheng Lin
Sep 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jie HuaZhenshun Song
Jul 29, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Peter B van den Boezem, Colin Sietses
Jan 29, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Atsushi HamabeMasaki Mori
Oct 23, 2014·Journal of Minimal Access Surgery·Rajeev Sinha, Albel S Yadav
Feb 18, 2014·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Mate MilasVladimir Trkulja
Sep 7, 2014·Digestive Diseases and Sciences·Klaus BielefeldtDhiraj Yadav

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