Single-Incision or Multiport Laparoscopic Cholecystectomy

  • Bill Ran Luo
  • Nathaniel J. SoperEmail author
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)


This chapter reviews the current body of literature comparing multi-port laparoscopic cholecystectomy versus single incision laparoscopic cholecystectomy; specifically differences between complications, conversion rates, pain, cosmesis, quality of life, cost, and rate of hernia formation.


Laparoscopic cholecystectomy Single-incision Multi-port Morbidity Pain Cosmesis Cost 


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Retrospective Review

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Randomized Trials

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    Vilallonga R, Barbaros U, Sumer A, et al. Single-port transumbilical laparoscopic cholecystectomy: a prospective randomized comparison of clinical results of 140 cases. J Minim Access Surg. 2012;8(3):74–8.CrossRefPubMedPubMedCentralGoogle Scholar
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    Leung D, Yetasook AK, Carbray J, et al. Single-incision surgery has higher cost with equivalent pain and quality-of-life scores compared with multiple-incision laparoscopic cholecystectomy: a prospective randomized blinded comparison. J Am Coll Surg. 2012;215(5):702–8.CrossRefPubMedGoogle Scholar
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    Marks JM, Phillips MS, Tacchino R, et al. Single-incision laparoscopic cholecystectomy is associated with improved cosmesis scoring at the cost of significantly higher hernia rates: 1-year results of a prospective randomized, multicenter, single-blinded trial of traditional multiport laparoscopic cholecystectomy vs single-incision laparoscopic cholecystectomy. J Am Coll Surg. 2013;216(6):1037–47.CrossRefPubMedGoogle Scholar
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    Deveci U, Barbaros U, Kapakli MS, et al. The comparison of single incision laparoscopic cholecystectomy and three port laparoscopic cholecystectomy: prospective randomized study. J Korean Surg Soc. 2013;85(6):275–82.CrossRefPubMedPubMedCentralGoogle Scholar
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Meta-analysis/Systematic Reviews

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    Trastulli S, Cirocchi R, Desiderio J, et al. Systematic review and meta-analysis of randomized clinical trials comparing single-incision versus conventional laparoscopic cholecystectomy. Br J Surg. 2013;100(2):191–208.CrossRefPubMedGoogle Scholar
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    Qiu J, Yuan H, Chen S, et al. Single-port versus conventional multiport laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials and nonrandomized studies. J Laparoendosc Adv Surg Tech A. 2013;23(10):815–31.CrossRefPubMedGoogle Scholar
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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryNorthwestern MedicineChicagoUSA

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