Author Affiliations: Research Institute Against Digestive Cancer, Department of Digestive and Endocrine Surgery, University of Strasbourg, Strasbourg, France.
Twenty years after laparoscopy became the criterion standard for cholecystectomy, the advent of single-port surgery has deeply affected the general consensus. Single-port surgery has spurred major scientific interest as shown in numerous publications and backed up by forceful industrial marketing. As a new approach, SILC is systematically reviewed. After analyzing numerous variables (pain, cosmetic result, cost-effectiveness, and learning curve), Hall et al1 demonstrate that this technique tends to show no advantages, with the detriment of greater operative risks, and that its implementation remains debatable.
Mutter D, Marescaux J. Single-Incision Laparoscopic CholecystectomyComment on “Single-Incision Laparoscopic Cholecystectomy”. Arch Surg. 2012;147(7):667. doi:10.1001/archsurg.2012.829