Ann Hepatobiliary Pancreat Surg.  2023 Nov;27(4):372-379. 10.14701/ahbps.23-058.

Outcome of single-incision laparoscopic cholecystectomy compared to three-incision laparoscopic cholecystectomy for acute cholecystitis

• Suh S
• Choi S
• Choi Y
• Lee B
• Cho JY
• Yoon YS
• Han HS

• KMID: 2548503
• DOI: http://doi.org/10.14701/ahbps.23-058

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.

Keyword

Laparoscopic cholecystectomy; Acute cholecystitis; Minimally invasive surgical procedure

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