Single incision laparoscopic cholecystectomy: A review on the complications
Background: The aim of this study was to establish the incidence of postoperative complications after single incision laparoscopic cholecystectomy. Materials and Methods: A literature search was performed using the PubMed database. Search terms included single incision laparoscopic cholecystectomy,...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=1;spage=1;epage=5;aulast=Fransen |
| Summary: | Background: The aim of this study was to establish the incidence of postoperative complications after single incision laparoscopic cholecystectomy. Materials and Methods: A literature search was performed using the PubMed database. Search terms included single incision laparoscopic cholecystectomy, single port cholecystectomy, minimal invasive laparoscopic cholecystectomy, nearly scarless cholecystectomy and complications. Results: A total of 38 articles meeting the selection criteria were reviewed. A total of 1180 patients were selected to undergo single incision laparoscopic cholecystectomy. Introduction of extra ports was necessary in 4% of the patients. Conversion to open cholecystectomy was required in 0.4% of the patients. Laparoscopic cholangiography was attempted in 4% of the patients. The incidence of major complications requiring surgical intervention or ERCP with stenting was 1.7%. The mortality rate was zero. Conclusion: Although the number of complications after single incision laparoscopic cholecystectomy seems favourable, it is too early to conclude that single incision laparoscopic cholecystectomy is a safe procedure. Large randomised controlled trials will be necessary to further establish its safety. |
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| ISSN: | 0972-9941 1998-3921 |