Single-incision laparoscopic cholecystectomy: does it work? A systematic review

@article{Lirici2016SingleincisionLC,
  title={Single-incision laparoscopic cholecystectomy: does it work? A systematic review},
  author={Marco Maria Lirici and Simone Maria Tierno and Cecilia Ponzano},
  journal={Surgical Endoscopy},
  year={2016},
  volume={30},
  pages={4389-4399}
}
BackgroundSingle-incision laparoscopic cholecystectomy (SILC) has been widely introduced into the clinical practice, but the real clinical benefits for patients still remain a matter of debate. We conducted a systematic review, according to the PRISMA guidelines comparing clinical and peri-operative outcomes of SILC and conventional laparoscopic cholecystectomy (CLC).MethodA literature search, including only randomised controlled trials (RCTs), was performed via PubMed, Google Scholar, Cochrane… Expand
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TLDR
Compared with conventional laparoscopic cholecystectomy, SIRC has experienced more postoperative incisional hernias than SILC, and the feasibility and safety of performing SILC and SIRC will improve. Expand
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TLDR
A prospective, randomized clinical trial to evaluate the surgical outcome, postoperative pain, and cosmetic outcome for SILC and NSC procedures, finding that NSC is superior to SILC in terms of short-term incisional pain. Expand
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TLDR
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TLDR
Compared with conventional SILC, needlescopic grasper-assisted and bendable retractor-assisted SILC might become a mainstream procedure for minimally invasive surgery from the viewpoint of surgical difficulty. Expand
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TLDR
SPA is a valid alternative to CLA for UGD and should be chosen when available, since it provides equal clinical outcomes, diminishes postoperative pain and is preferred by patients. Expand
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TLDR
Perioperative outcomes differed across minimally invasive techniques and, in some instances, afforded superior outcomes compared to standard laparoscopic cholecystectomy. Expand
Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study
TLDR
SILC is associated with a statistically significantly higher long-term incisional hernia rate at the umbilical port site than the standard multiport laparoscopic cholecystectomy, and widespread use of SILC cannot be recommended. Expand
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TLDR
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TLDR
It is without any question that nowadays no surgeon wants to miss minimally invasive surgery in his surgical portfolio, but the number of double-blinded randomised clinical trials (RCT) comparing minimal invasive procedures with the respective open surgery is rather limited. Expand
Perioperative Analgesic Effects of Preemptive Ultrasound-Guided Rectus Sheath Block Combined with Butorphanol or Sufentanil for Single-Incision Laparoscopic Cholecystectomy: A Prospective, Randomized, Clinical Trial
TLDR
Butorphanol can provide sufficient visceral pain treatment after SILC than the dose of sufentanil in equal analgesic effect, and this study shows that this treatment is effective in patients undergoing SILC. Expand
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TLDR
Initial results indicate that single-incision LC is safe, significantly reduces the hospital stay, and is an acceptable alternative to traditional LC. Expand
Single-incision Versus Conventional Laparoscopic Cholecystectomy in Patients With Uncomplicated Gallbladder Disease: A Meta-analysis
TLDR
The current evidence shows that patients with uncomplicated cholelithiasis or polypoid lesions of the gallbladder who prefer a better cosmetic outcome, SILC offers a safe alternative to CLC. Expand
Single-Incision Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy: a Meta-analysis of Randomized Controlled Trials
TLDR
Single-incision laparoscopic cholecystectomy does not confer any benefit in postoperative pain (6 and 24 h) and hospital stay as compared to conventional laparoscope choleCystectomy while having significantly better cosmetic results at the same time. Expand
Single-access Laparoscopic Cholecystectomy Versus Classic Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
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SALC required longer operative times than CLC without significant benefits in patient overall satisfaction, postoperative pain, and hospital stay, and only satisfaction with the cosmetic result showed a significantly higher preference towards SALC. Expand
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TLDR
SILC seems to be a safe and feasible technique that can be undertaken without the expense of added postoperative complication and operative time and provides patients with a minimal apparent scar. Expand
Single-incision laparoscopic cholecystectomy: a cost comparison
TLDR
The cost for SILC did not differ significantly from that for LC when standard materials were used and the duration of the procedure was considered, but converted cases were significantly more expensive than completed SILC and LC cases. Expand
Single-incision Laparoscopic Cholecystectomy Versus Laparoscopic Cholecystectomy: A Prospective Randomized Study
TLDR
Although the surgeon’s first several attempts at SILC require a longer operative time compared with LC, there are no differences in hospital length of stay, blood loss, complication rates, or pain scores between SILC and LC. Expand
Expanding the Indications for Single-incision Laparoscopic Cholecystectomy to All Patients With Biliary Disease: Is it Safe?
TLDR
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TLDR
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