Chuang SH, Chen PH, Chang CM, Lin CS. Single-incision vs three-incision laparoscopic cholecystectomy for complicated and uncomplicated acute cholecystitis. World J Gastroenterol 2013; 19(43): 7743-7750 [PMID: 24282363 DOI: 10.3748/wjg.v19.i43.7743]
Corresponding Author of This Article
Chih-Sheng Lin, PhD, Department of Biological Science and Technology, National Chiao Tung University, No. 75 Po-Ai Street, Hsin-Chu 30068, Taiwan. lincs@mail.nctu.edu.tw
Research Domain of This Article
Surgery
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 21, 2013; 19(43): 7743-7750 Published online Nov 21, 2013. doi: 10.3748/wjg.v19.i43.7743
Single-incision vs three-incision laparoscopic cholecystectomy for complicated and uncomplicated acute cholecystitis
Shu-Hung Chuang, Pai-Hsi Chen, Chih-Ming Chang, Chih-Sheng Lin
Shu-Hung Chuang, Pai-Hsi Chen, Chih-Sheng Lin, Department of Biological Science and Technology, National Chiao Tung University, Hsin-Chu 30068, Taiwan
Shu-Hung Chuang, Pai-Hsi Chen, Department of Surgery, Mackay Memorial Hospital, Hsin-Chu Branch, Hsin-Chu 30071, Taiwan
Chih-Ming Chang, College of Management, Fu Jen Catholic University, New Taipei City 24205, Taiwan
Chih-Ming Chang, Department of Nursing, Mackay Memorial Hospital, Hsin-Chu Branch, Hsin-Chu 30071, Taiwan
Author contributions: Chuang SH designed the study; Chuang SH and Chen PH collected the data; Chuang SH, Chen PH, Chang CM and Lin CS analyzed the data; Chuang SH and Lin CS drafted the manuscript; Lin CS revised the manuscript.
Correspondence to: Chih-Sheng Lin, PhD, Department of Biological Science and Technology, National Chiao Tung University, No. 75 Po-Ai Street, Hsin-Chu 30068, Taiwan. lincs@mail.nctu.edu.tw
Telephone: +886-3-5131338 Fax: +886-3-5729288
Received: June 3, 2013 Revised: August 17, 2013 Accepted: September 15, 2013 Published online: November 21, 2013
Core Tip
Core tip: single-incision laparoscopic cholecystectomy (SILC) is an alternative treatment for uncomplicated benign gallbladder diseases, but its role in acute cholecystitis remains unclear. This comparative analysis of SILC with three-incision laparoscopic cholecystectomy for treating acute cholecystitis represents the largest series to date and proportion of gangrenous cholecystitis patients (30.6%). The well-known drawbacks of SILC - longer operative time and higher cost - were alleviated by the larger paraumbilical incisions facilitating extraction of inflamed gallbladders and reliance on conventional instruments only. The low procedure conversion rate observed for SILC indicated its safety and efficacy for treating acute cholecystitis. SILC providing a faster recovery time was the main benefit to these patients.
