Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Outcome of single-incision laparoscopic cholecystectomy compared to three-incision laparoscopic cholecystectomy for acute cholecystitis

  • Sanggyun Suh (Department of Surgery, Chung-Ang University Gwangmyeong Hospital) ;
  • Soyeon Choi (Department of Pathology, Ulsan University Hospital) ;
  • YoungRok Choi (Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Boram Lee (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jai Young Cho (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Yoo-Seok Yoon (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Ho-Seong Han (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2023.04.27
  • Accepted : 2023.06.18
  • Published : 2023.11.30
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Abstract

Backgrounds/Aims: While single-incision laparoscopic cholecystectomy (SILC) has advantages in cosmesis and postoperative pain, its utilization has been limited. This study raises the possibility of expanding its indication to acute cholecystitis with the novel method of solo surgery under retrospective analysis. Methods: We compared the outcomes of SILC (n = 58) to those of three-incision laparoscopic cholecystectomy (TILC; n = 117) for acute cholecystitis, being performed from March 2014 to December 2015. Results: Intraoperative results, including the operation time, did not differ significantly, except for drain catheter insertion (p = 0.004). Each group had 1 case of open conversion due to common bile duct injury. There was no significant difference in the length of hospital stay. Either group by itself was not a risk factor for complications, but in preoperative drainage for intraoperative perforation, 3 factors of intraoperative perforation, biliary complication, and history of upper abdominal operation for additional port, only American Society of Anesthesiology (ASA) scores for postoperative complication of Clavien-Dindo grades III and IV were significant risk factors. Conclusions: Our study findings showed comparative outcomes between both groups, providing evidence for the safety and feasibility of SILC for acute cholecystitis.

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References

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