Single-incision laparoscopic cholecystectomy vs. conventional laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Pankaj GargGeetha R Menon

Abstract

We analyzed different morbidity parameters between single-incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC). Pubmed, Ovid, Embase, SCI database, Cochrane, and Google Scholar were searched. The primary endpoints analyzed were cosmetic result and the postoperative pain (at 6 and 24 h) and the secondary endpoints were operating time, hospital stay, incidence of overall postoperative complications, wound-related complications, and port-site hernia. Six hundred fifty-nine patients (SILC-349, CLC-310) were analyzed from nine randomized controlled trials. The objective postoperative pain scores at 6 and 24 h and the hospital stay were similar in both groups. The total postoperative complications, wound-related problems, and port-site hernia formation, though higher in SILC, were also comparable in both groups. SILC had significantly favorable cosmetic scoring compared to CLC [weighted mean difference = 1.0, p = 0.0001]. The operating time was significantly longer in SILC [weighted mean difference = 15.63, p = 0.0001]. Single-incision laparoscopic cholecystectomy does not confer any benefit in postoperative pain (6 and 24 h) and hospital stay as compared to conventional laparoscopic cholec...Continue Reading

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Citations

Feb 26, 2013·Surgical Endoscopy·Kazunori ShibaoKoji Yamaguchi
Sep 8, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Antonio Morandeira-RivasLuis Giménez-Salillas
Dec 25, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Norihiro SatoKoji Yamaguchi
Sep 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jie HuaZhenshun Song
Feb 18, 2014·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Mate MilasVladimir Trkulja
Aug 22, 2013·World Journal of Gastroenterology : WJG·Yu-Long CaiNan-Sheng Cheng
Aug 22, 2014·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jakeb D RiggleChad A LaGrange
Nov 13, 2013·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Zhamak KhorgamiAli Aminian
Dec 9, 2016·Asian Journal of Surgery·Yoichi MatsuiMasanori Kon
Oct 21, 2017·Asian Journal of Endoscopic Surgery·Keiso MatsubaraToshiyuki Itamoto
Feb 22, 2014·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Jan 23, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lilin YangSongping Luo
Oct 10, 2013·Journal of the Korean Surgical Society·Huseyin YilmazMustafa Sahin
May 22, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kodai TakahashiKazunori Sasaki
Aug 15, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L MiloneP C Giulianotti
Feb 26, 2013·World Journal of Surgery·Markus J WagnerMichael H Schoenberg
Feb 21, 2016·Surgical Endoscopy·Marco Maria LiriciCecilia Ponzano
Jan 27, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsUNKNOWN European Hernia Society
Oct 17, 2013·World Journal of Surgery·Luca MilonePier Cristoforo Giulianotti
Oct 3, 2015·Advanced Biomedical Research·Seyed Vahid HosseiniFaranak Bahrami
Oct 30, 2016·Asian Journal of Endoscopic Surgery·Hiromi TokumuraIchiro Yasuda
Nov 21, 2013·Annals of Surgery·Shailesh Anand SableNilesh Doctor
Nov 25, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M B ConnellS V Patel
Oct 24, 2014·World Journal of Gastroenterology : WJG·Stephen Kin Yong Chang, Kai Yin Lee
Apr 27, 2016·Asian Journal of Endoscopic Surgery·Norihiro SatoKeiji Hirata

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