BACKGROUND After its introduction, laparoscopic cholecystectomy rapidly expanded around the world and was accepted the procedure of choice by consensus. However, analysis of evidence shows no difference regarding primary outcome measures between laparoscopic and small-incision cholecystectomy. In absence of clear clinical benefit it may be interesting to focus on the resource use associated wit...

BACKGROUND AND OBJECTIVES Minimally invasive surgery fellowship programs have been created in response to advancements in technology and patient's demands. Single-incision laparoscopic cholecystectomy (SILC) is a technique that has been shown to be safe and feasible, but this appears to be the case only for experienced surgeons. The purpose of this study is to evaluate the impact of minimally i...

Laparoscopic cholecystectomy has become gold standard for cholecystectomy. The tendency of minimizing surgical trauma encourages the use of new approaches in laparoscopic surgery. Single incision laparoscopic surgery (SILS) cholecystectomy was first performed ten years ago; however, it is only recent technologic development that has enabled its wider acceptance. We report on a case of a 69-year...

BACKGROUND AND OBJECTIVES Within the past few years, there has been a push for an even more minimally invasive approach to biliary disease with the adoption of single-incision laparoscopic cholecystectomy. We sought to compare 4 individual surgeon experiences to define whether there exists a learning curve for performing single-incision laparoscopic cholecystectomy. METHODS We performed a ret...

OBJECTIVE To evaluate the primary and clinical outcomes in laparoscopic and small-incision cholecystectomy. DESIGN Blinded randomized single-center trial emphasizing methodologic quality and generalizability. SETTING General teaching hospital in the Netherlands. PATIENTS A total of 257 patients undergoing cholecystectomy for symptomatic cholecystolithiasis. INTERVENTIONS Laparoscopic ch...

who compared postoperative pain after traditional and single‑incision laparoscopic cholecystectomy (SILC), it was showed that SILC resulted in a slightly less immediate postoperative pain, but pain scores at 24 hours, 7 days, and 1–6 months after surgery were not different between the two operations. Many things of this study were well done. The authors used a double‑blinded, randomized, and co...

Aim: The aim is to shift the 5 mm port from the right upper abdomen to the umbilicus in threeport laparoscopic cholecystectomy to obtain better cosmetic results. Methods: The three ports in conventional three-port laparoscopic cholecystectomy were placed in a 10 mm epigastric incision, a 5 mm umbilical incision and a 5 mm right upper abdominal incision. Our modified method involved movement of ...

Purpose: Since the early 1990s, laparoscopic cholecystectomy has become the gold standard for cholecystectomy. Single-incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic. The results are presented here of a single surgeon’s initial experience with single-incision laparoscopic cholecyste...

OBJECTIVE To review the initial results and surgical outcomes of single-incision laparoscopic cholecystectomy. DESIGN Prospective case series. SETTING A university teaching hospital and a regional hospital in Hong Kong. PATIENTS All patients undergoing single-incision laparoscopic cholecystectomy from August 2009 to March 2011. RESULTS Fifty patients underwent single-incision laparoscop...