Users Online : 743 About us |  Subscribe |  e-Alerts  | Feedback | Login   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (121 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


   References

 Article Access Statistics
    Viewed974    
    Printed60    
    Emailed0    
    PDF Downloaded102    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 


 
 Table of Contents     
LETTER TO THE EDITOR
Year : 2012  |  Volume : 8  |  Issue : 4  |  Page : 163
 

Single incision laparoscopic cholecystectomy: Great start and a long way to go


Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, India

Date of Web Publication2-Nov-2012

Correspondence Address:
Pankaj K Garg
Room No. 2207, Ward 22, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.103133

Rights and Permissions



How to cite this article:
Garg PK. Single incision laparoscopic cholecystectomy: Great start and a long way to go. J Min Access Surg 2012;8:163

How to cite this URL:
Garg PK. Single incision laparoscopic cholecystectomy: Great start and a long way to go. J Min Access Surg [serial online] 2012 [cited 2019 Jul 16];8:163. Available from: http://www.journalofmas.com/text.asp?2012/8/4/163/103133


Dear Sir,

I read the article "Single incision laparoscopic cholecystectomy: A review on the complications" by Fransen et al.[1] with great interest. I agree completely with the authors that single incision laparoscopic surgery (SILS) has to go a long way before it is accepted as a safe procedure. Moreover, claims of higher patient satisfaction rate following SILS, one of the main projected benefit of this procedure, have been recently questioned in two studies, one from India [2] and another from United Kingdom. [3] In a retrospective study from North India to compare SILS cholecystectomy and conventional laparoscopic cholecystectomy, Garg et al.[2] found similar overall satisfaction rates among the patients with the procedureof these two groups. In another retrospective study conducted in United Kingdom, Monkhouse et al.[3] found that 93% patientswere happy and extremely happy with the conventional laparoscopic cholecystectomy (using four ports). The study showed that cosmesis was the most important factor for only 13.5% of patients surveyed in their surgical experience, and received low priority by 35% of patients compared with other factors, such as ward cleanliness, surgeon experience, etc.The authors [3] questioned whether there is really any patient driven demand to change the established procedure. All said hitherto is not to thwart the newer developments in the field of minimal surgery. At present, SILS cholecystectomy seems to bear the same skepticism what people had for conventional cholecystectomy in its initial days of evolution.Only time will tell if the quest for improvement in minimal access surgery, the SILS, proves to clear the air.

 
  References Top

1.Fransen S, Stassen L, Bouvy N. Single incision laparoscopic cholecystectomy: A review on the complications. J Minim Access Surg 2012;8:1-5.  Back to cited text no. 1
    
2.Garg P, Thakur JD, Raina NC, Mittal G, Garg M, Gupta V. Comparison of cosmetic outcome between single-incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy: An objective study. J Laparoendosc Adv Surg Tech A 2012;22:127-30.  Back to cited text no. 2
[PUBMED]    
3.Monkhouse SJ, Court EL, Beard LA, Bunni J, Burgess P. A retrospective wound review of standard four-port laparoscopic cholecystectomy: Is there need for single-port laparoscopic surgery? SurgEndosc 2012;26:255-60.  Back to cited text no. 3
[PUBMED]    



This article has been cited by
1 Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery
Claude, T., Daren, S., Chady, S., Alexis, L., Daniel, A.
Journal of Minimal Access Surgery. 2014; 10(1): 14-17
[Pubmed]



 

Top
Print this article  Email this article
 

    

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04