Prospective randomized controlled trial of traditional laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy: Report of preliminary data

Jeffrey Marks*, Roberto Tacchino, Kurt Roberts, Raymond Onders, George Denoto, Paraskevas Paraskeva, Homero Rivas, Nathaniel Soper, Alexander Rosemurgy, Sajani Shah

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

138 Scopus citations

Abstract

Background This study presents preliminary data from a prospective randomized multicenter, single-blinded trial of single-incision laparoscopic cholecystectomy (SILC) versus standard laparoscopic cholecystectomy (4PLC). Methods Patients with symptomatic gallstones, polyps, or biliary dyskinesia (ejection fraction <30%) were randomized to SILC or 4PLC. Data included operative time, estimated blood loss, length of skin and fascial incisions, complications, pain, satisfaction and cosmetic scoring, and conversion. Results Operating room time was longer with SILC (n = 50) versus 4PLC (n = 33). No differences were seen in blood loss, complications, or pain scores. Body image scores and cosmetic scores at 1, 2, 4, and 12 weeks were significantly higher for SILC. Satisfaction scores, however, were similar. Conclusions Preliminary results from this prospective trial showed SILC to be safe compared with 4PLC although operative times were longer. Cosmetic scores were higher for SILS compared with 4PLC. Satisfaction scores were similar although both groups reported a significantly higher preference towards SILC.

Original languageEnglish (US)
Pages (from-to)369-373
Number of pages5
JournalAmerican journal of surgery
Volume201
Issue number3
DOIs
StatePublished - Mar 2011

Keywords

  • Cholecystectomy
  • Prospective randomized trial
  • Single-incision laparoscopy

ASJC Scopus subject areas

  • Surgery

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