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Is Single-incision Laparoscopic Cholecystectomy Feasible for Acute Cholecystitis? A Consecutive Study of 60 Cases

Koizumi, Noriaki MD, PhD; Kobayashi, Hiroki MD; Takagi, Tsuyoshi MD, PhD; Fukumoto, Kanehisa MD, PhD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: October 2017 - Volume 27 - Issue 5 - p 379–383
doi: 10.1097/SLE.0000000000000453
Original Articles
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The feasibility of single-incision laparoscopic cholecystectomy (SIL-C) for patients with acute cholecystitis were evaluated based on the timing of operation after onset of symptoms. Sixty patients with acute cholecystitis who underwent SIL-C were divided into 2 groups according to the timing of operation: group E included 23 patients who underwent SIL-C within 72 hours, and group O included 37 patients who underwent SIL-C later. There were no statistical differences between group E and group O in clinicopathologic characteristics. Group E demonstrated significantly shorter operating time and less blood loss than group O. Although the incidences of additional port(s) requirements were not significantly different, 8 patients in group O required open conversion, indicating significantly higher rate. As group E demonstrated favorable surgical outcomes compared with group O, SIL-C for acute cholecystitis seems to be a feasible therapeutic procedure when performed within 72 hours as updated Tokyo Guidelines recommended.

Department of Surgery, Nishijin Hospital, Kamigyo-ku, Kyoto, Japan

The author declares no conflicts of interest.

Reprints: Noriaki Koizumi, MD, PhD, Department of Surgery, Nishijin Hospital, 1035 Mizomae-cho, Kamigyo-ku, Kyoto 602-8319, Japan (e-mail: nkoizumi@koto.kpu-m.ac.jp).

Received November 14, 2016

Accepted June 12, 2017

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