Single incision laparoscopic cholecystectomy: A review on the complications
| Autor: | Sofie Fransen, L Stassen, N Bouvy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Journal of Minimal Access Surgery, Vol 8, Iss 1, Pp 1-5 (2012) |
| Druh dokumentu: | article |
| ISSN: | 0972-9941 1998-3921 |
| DOI: | 10.4103/0972-9941.91771 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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