What is single-site laparoscopic cholecystectomy?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Cholecystectomy can also be performed through single-port access (SPA) surgery, also known as single-incision laparoscopic surgery (SILS)—so-called single-port cholecystectomy. [73, 74] In these procedures, the surgeon operates almost exclusively through a single entry point, typically the patient’s umbilicus.

In a retrospective review that included 360 consecutive patients who underwent single-incision laparoscopic cholecystectomy (SILC), Sato et al concluded that SILC appeared to be relatively safe and to have an acceptable postoperative complication rate but noted that poor physical status and acute cholecystitis were significant risk factors for postoperative complications. [75]

An approach in which three discrete ports are placed through three mini-incisions at a single site has also been described. [76]

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