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World J Gastroenterol. Jan 21, 2014; 20(3): 843-851
Published online Jan 21, 2014. doi: 10.3748/wjg.v20.i3.843
Published online Jan 21, 2014. doi: 10.3748/wjg.v20.i3.843
Remains of the day: Biliary complications related to single-port laparoscopic cholecystectomy
Pierre Allemann, Nicolas Demartines, Markus Schäfer, Department of Visceral Surgery, University Hospital CHUV, CH 1011 Lausanne, Switzerland
Author contributions: Demartines N and Schäfer M designed research; Allemann P and Schäfer M performed research; Allemann P contributed new reagents or analytic tools; Allemann P, Schäfer M analyzed data; Allemann P wrote the draft of the manuscript; Demartines N and Schäfer M made critical corrections and revision
Correspondence to: Nicolas Demartines, MD, FACS, FRCS, Department of Visceral Surgery, University Hospital CHUV, Rue du Bugnon 46, CH 1011 Lausanne, Switzerland. demartines@chuv.ch
Telephone: +41-21-3142400 Fax: +41-21-3142311
Received: June 15, 2013
Revised: August 14, 2013
Accepted: August 20, 2013
Published online: January 21, 2014
Processing time: 248 Days and 18.5 Hours
Revised: August 14, 2013
Accepted: August 20, 2013
Published online: January 21, 2014
Processing time: 248 Days and 18.5 Hours
Core Tip
Core tip: This study assessed the rate of Bile Duct Injuries and overall biliary complications during single port laparoscopic cholecystectomy. A systematic review of the literature was performed, including 11 randomized controlled trials (898 patients) and 60 non-randomized trials (3599 patients). No statistically significant differences were found. However, interpretation of the results was impaired by several limitations. Based on a retrospective analysis, an incidence of bile duct injuries up to 0.7% was found. The safety of single-port laparoscopic cholecystectomy cannot be assumed, based on the current evidence. Hence, this new technology cannot be recommended as standard technique for laparoscopic cholecystectomy so far.