Premium
Safety of single‐incision laparoscopic cholecystectomy for acute cholecystitis
Author(s) -
Byun Geon Young,
Lee Sung Ryul,
Koo Bum Hwan
Publication year - 2017
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.14246
Subject(s) - medicine , laparotomy , surgery , chronic cholecystitis , acute cholecystitis , laparoscopic cholecystectomy , complication , cholecystectomy , laparoscopy , cholecystitis , general surgery , gallbladder
Background Single‐incision laparoscopic cholecystectomy ( SILC ) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis. Methods Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acute and chronic groups. Demographic, operative and outcome data were obtained by reviewing medical records, physical examination and telephone follow‐up. Results In total, 1435 patients were included in this study: 220 (15.3%) in the acute group and 1215 (84.7%) in the chronic group. The mean operative time was longer in the acute group than in the chronic group (44.7 ± 21.6 versus 32.8 ± 9.8 min; P < 0.001). Insertion of additional ports was performed in 17 patients: six in the acute group and 11 in the chronic group. Conversion to abdominal laparotomy was performed in eight patients: one in the acute group and seven in the chronic group. The mean post‐operative hospital stay was 31.7 ± 20.4 h in the acute group and 27.7 ± 13.7 h in the chronic group. The complication rate was similar between the acute ( n = 8, 3.6%) and chronic ( n = 33, 2.7%) groups. Conclusion SILC does not increase the complication rate and is a safe and feasible technique for both chronic and acute cholecystitis.