Journal of Gastrointestinal Surgery

, Volume 16, Issue 8, pp 1618–1628

Single-Incision Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy: a Meta-analysis of Randomized Controlled Trials

  • Pankaj Garg
  • Jai Deep Thakur
  • Mahak Garg
  • Geetha R. Menon
Review Article

DOI: 10.1007/s11605-012-1906-6

Cite this article as:
Garg, P., Thakur, J.D., Garg, M. et al. J Gastrointest Surg (2012) 16: 1618. doi:10.1007/s11605-012-1906-6

Abstract

Introduction

We analyzed different morbidity parameters between single-incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC).

Methods

Pubmed, Ovid, Embase, SCI database, Cochrane, and Google Scholar were searched. The primary endpoints analyzed were cosmetic result and the postoperative pain (at 6 and 24 h) and the secondary endpoints were operating time, hospital stay, incidence of overall postoperative complications, wound-related complications, and port-site hernia.

Results

Six hundred fifty-nine patients (SILC—349, CLC—310) were analyzed from nine randomized controlled trials. The objective postoperative pain scores at 6 and 24 h and the hospital stay were similar in both groups. The total postoperative complications, wound-related problems, and port-site hernia formation, though higher in SILC, were also comparable in both groups. SILC had significantly favorable cosmetic scoring compared to CLC [weighted mean difference = 1.0, p = 0.0001]. The operating time was significantly longer in SILC [weighted mean difference = 15.63, p = 0.0001].

Conclusions

Single-incision laparoscopic cholecystectomy does not confer any benefit in postoperative pain (6 and 24 h) and hospital stay as compared to conventional laparoscopic cholecystectomy while having significantly better cosmetic results at the same time. Postoperative complications, though higher in SILC, were statistically similar in both the groups.

Keywords

Single incisionCholecystectomyLaparoscopicMeta-analysisCosmeticPostoperative painConventional

Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  • Pankaj Garg
    • 1
    • 2
    • 5
  • Jai Deep Thakur
    • 3
  • Mahak Garg
    • 1
  • Geetha R. Menon
    • 4
  1. 1.MM Institute of Medical Sciences & ResearchMullanaIndia
  2. 2.Fortis Super Specialty HospitalMohaliIndia
  3. 3.Louisiana State University Health Sciences CenterShreveportUSA
  4. 4.Indian Council of Medical Research (ICMR)New DelhiIndia
  5. 5.PanchkulaIndia