Predicting prolonged hospital stay after 4-port or single-incision laparoscopic cholecystectomy and laparoscopic cholecystolithotomy

Abstract

Laparoscopic cholecystectomy (LC) can provide less pain and wound scar for a patient after surgery. Single incision laparoscopic cholecystectomy (SILC) is the LC procedure that is applied through a single access device. It was reported for the first time by Navara et al. without a difference in the overall rate of complications, including biliary tract injury, bile leakage and wound infection, when compared with conventional LC. Cosmetic results of SILC were superior to that of conventional LC. However, some reports revealed that SILC was associated with a higher incidence of incisional hernia than conventional LC. The SILC procedure may not be familiar to the surgeon which may take longer operative time and higher perioperative complication rates than conventional LC.