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Invited Critique
July 2012

Single-Incision Laparoscopic Cholecystectomy: Comment on “Single-Incision Laparoscopic Cholecystectomy”

Author Affiliations

Author Affiliations: Research Institute Against Digestive Cancer, Department of Digestive and Endocrine Surgery, University of Strasbourg, Strasbourg, France.

Arch Surg. 2012;147(7):667. doi:10.1001/archsurg.2012.829

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.

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