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July 2012

Is Single-Incision Laparoscopic Cholecystectomy Really Beneficial?

Author Affiliations

Author Affiliation: Department of Surgery, University of New South Wales, Bankstown-Lidcombe Hospital, Bankstown, Australia.

Arch Surg. 2012;147(7):589-590. doi:10.1001/archsurg.2012.49

In the quest for an even less invasive surgical technique, and perhaps emerging as a better substitute to natural orifice transluminal endoscopic surgery, single-incision laparoscopic surgery (SILS), also known as laparaoendoscopic single-site or single-port access surgery, has grown rapidly in popularity among surgeons during the past few years. The sudden increase in the number of publications on this subject is testament to this. A substantial proportion of these articles relate to gallbladder surgery, which is probably the most suitable approach to study as it can be easily compared with the well-standardized laparoscopic cholecystectomy (LC). Navarra et al1 were the first to describe single-incision laparoscopic cholecystectomy (SILC) in 1997 and since then, several recent large series have shown that this procedure could be performed safely with satisfactory outcome.25 However, what benefit does SILC really offer over the gold-standard multiport LC?

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