Journal of Minimal Access Surgery

LETTER TO THE EDITOR
[Download PDF]
Year : 2012  |  Volume : 8  |  Issue : 4  |  Page : 163-

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

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

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




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


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 Aug 17 ];8:163-163
Available from: http://www.journalofmas.com/text.asp?2012/8/4/163/103133


Full Text

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

1Fransen S, Stassen L, Bouvy N. Single incision laparoscopic cholecystectomy: A review on the complications. J Minim Access Surg 2012;8:1-5.
2Garg 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.
3Monkhouse 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.