Feasibility and safety of single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy in an ambulatory setting

Jun-Wen Qu; Cheng Xin; Gui-Yang Wang; Zhi-Qing Yuan; Ke-Wei Li

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Feasibility and safety of single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy in an ambulatory setting

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Background:Single-incision laparoscopic surgery has emerged as an alternative to conventional laparo-scopic cholecystectomy (LC) in the clinical setting. Limited information is available on the possibility of performing single-incision laparoscopic surgery as an ambulatory procedure. This study aimed to deter-mine the feasibility and safety of single-incision laparoscopic cholecystectomy (SILC) versus conventional LC in an ambulatory setting. Methods:Ninety-one patients were randomized to SILC (n= 49) or LC (n= 42). The success rate, opera-tive duration, blood loss, hospital stay, gallbladder perforation, drainage, delayed discharge, readmission, total cost, complications, pain score, vomiting, and cosmetic satisfaction of the two groups were then compared. Results:There were significant differences in the operative time (46.89 ± 10.03 min in SILC vs. 37.24 ± 10.23 min in LC; P 0.05). Conclusions:Ambulatory SILC is safe and feasible for selected patients. The advantages of SILC as com-pared with LC are improved cosmetic satisfaction and lower total costs.

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《国际肝胆胰疾病杂志（英文版）》 |2019年第3期|273-277|共5页
作者
Jun-Wen Qu; Cheng Xin; Gui-Yang Wang; Zhi-Qing Yuan; Ke-Wei Li;
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作者单位

Department of Biliary- Pancreatic Surgery;

Renji Hospital;

School of Medicine;

Shanghai Jiao Tong University;

No. 160;

Pujian Road;

Shanghai 200127;

China;

Department of Biliary- Pancreatic Surgery;

Renji Hospital;

School of Medicine;

Shanghai Jiao Tong University;

No. 160;

Pujian Road;

Shanghai 200127;

China;

Department of Biliary- Pancreatic Surgery;

Renji Hospital;

School of Medicine;

Shanghai Jiao Tong University;

No. 160;

Pujian Road;

Shanghai 200127;

China;

Department of Biliary- Pancreatic Surgery;

Renji Hospital;

School of Medicine;

Shanghai Jiao Tong University;

No. 160;

Pujian Road;

Shanghai 200127;

China;

Department of Biliary- Pancreatic Surgery;

Renji Hospital;

School of Medicine;

Shanghai Jiao Tong University;

No. 160;

Pujian Road;

Shanghai 200127;

China;

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Feasibility and safety of single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy in an ambulatory setting

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