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J Visc Surg. 2012 Dec;149(6):417-20. doi: 10.1016/j.jviscsurg.2012.10.017. Epub 2012 Nov 13.

Single umbilical incision laparoscopic cholecystectomy: results of the prospective trial of the Coelio Club.

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1
Clinique Saint-Jean, 37, boulevard Botanique, 1000 Bruxelles, Belgium. rapharubay@yahoo.com

Abstract

AIM:

To assess the cosmetic outcome after single umbilical incision laparoscopic cholecystectomies (SILC) performed by the surgeons of the Coelio Club.

PATIENTS AND METHODS:

Multicenter prospective study concerning 105 consecutive patients operated between December 2009 and February 2011 by SILC for non-complicated gallstones. Perioperative and postoperative parameters were analyzed with a systematic follow-up at 1 and 6months postoperative.

RESULTS:

Conversion to conventional laparoscopic cholecystectomy (CLC) was required for six patients (5.7%). Conversion rate is higher in case of acute cholecystitis (25%, P<0.001). Cosmetic outcome is found excellent by the patient (in 86% of the cases at 6months) and by the surgeon (in 90% of the cases at 6months) using an EVA scale. An incisional hernia was found in two cases (1.9%) and a superficial wound infection in four cases (3.8%).

CONCLUSIONS:

The cosmetic outcome after SILC is found excellent. SILC has its place in the surgical management of the non-complicated gallstone. We did not notice higher level of peroperative complications (biliary tract injury) during SILC than during CLC. Postoperative higher level of abdominal wall complications than after a CLC makes the surgeon caution to a careful abdominal wall closure.

PMID:
23153771
DOI:
10.1016/j.jviscsurg.2012.10.017
[Indexed for MEDLINE]
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