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 REVIEW ARTICLE
Year : 2012  |  Volume : 8  |  Issue : 1  |  Page : 1-5

Single incision laparoscopic cholecystectomy: A review on the complications


Department of Surgery, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands

Correspondence Address:
Sofie Fransen
Department of Surgery, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht
The Netherlands
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.91771

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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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