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Updated: Jun 2, 2026

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Laparoendoscopic single-site cholecystectomy: a randomized controlled study.

Mingwei Zheng1, Mingfang Qin, Hongzhi Zhao

  • 1Tianjin Medical University, Tianjin, China. zhengmw95@gmail.com

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
|May 18, 2011
PubMed
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Laparoendoscopic single-site (LESS) cholecystectomy offers a safe and cosmetic alternative for gallbladder removal, showing comparable recovery to standard laparoscopic cholecystectomy (LC) but with less pain.

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Innovation

Background:

  • Cholelithiasis and gallbladder polyps are common conditions requiring surgical intervention.
  • Laparoscopic cholecystectomy (LC) is the current standard, but cosmetic concerns and invasiveness persist.
  • Laparoendoscopic single-site (LESS) surgery aims to reduce scarring and improve cosmetic outcomes.

Purpose of the Study:

  • To evaluate the initial experience and safety of LESS cholecystectomy.
  • To compare LESS cholecystectomy with standard LC in a randomized controlled trial.
  • To assess clinical outcomes, including operative time, recovery, pain, and patient satisfaction.

Main Methods:

  • A randomized controlled trial involving 60 patients with cholelithiasis or polyp lesion of the gallbladder (PLG).

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  • Patients were divided into two groups: LESS cholecystectomy (n=30) and standard LC (n=30).
  • Clinical data on operative parameters, postoperative recovery, pain, and patient satisfaction were collected and compared.
  • Main Results:

    • Successful LESS cholecystectomy was achieved in 93.3% of patients, with 6.7% requiring conversion to standard LC.
    • Mean operative time was longer for LESS cholecystectomy (55.6 min) compared to LC (42.7 min) (p < 0.05).
    • LESS cholecystectomy demonstrated significantly lower postoperative pain scores (p < 0.05) and higher patient satisfaction scores (p < 0.05), with similar hospital stays.

    Conclusions:

    • LESS cholecystectomy is a safe, feasible, and minimally invasive option for selected patients with uncomplicated gallbladder disease.
    • The procedure offers cosmetic advantages and improved patient satisfaction compared to standard LC.
    • Further large-scale controlled studies are warranted to solidify the role of LESS cholecystectomy.