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Single-incision laparoscopic cholecystectomy: do patients care?
Kalman P Bencsath1, Gavin Falk, Gareth Morris-Stiff
1Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, A100, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Summary
Most patients undergoing laparoscopic cholecystectomy find the umbilical incision most painful and would prefer its elimination. This suggests single-incision techniques may not align with patient desires for less scarring.
Area of Science:
- Surgical innovation
- Patient-reported outcomes
- Minimally invasive surgery
Background:
- Laparoscopic cholecystectomy commonly uses multiple small incisions.
- Single-incision laparoscopic cholecystectomy (SILC) aims to reduce incisions, primarily at the umbilicus.
- Patient perception of SILC benefits is not well understood.
Purpose of the Study:
- To assess patient satisfaction with standard laparoscopic cholecystectomy.
- To determine patient preferences regarding incision elimination.
- To evaluate the desirability of the umbilical incision in standard laparoscopic cholecystectomy.
Main Methods:
- Retrospective analysis of 125 female patients (aged 18-40) who underwent laparoscopic cholecystectomy.
- Data collection on patient recall of incision number and pain perception.
- Patient preference survey regarding incision elimination.
Main Results:
- 45.6% of patients inaccurately recalled the number of incisions.
- 65.5% of patients reporting pain cited the umbilical incision as most painful.
- 68.6% of patients preferred to eliminate an incision, with 63.0% choosing the umbilical site.
Conclusions:
- The umbilical incision is frequently perceived as the most painful site.
- Patients often do not recall smaller incisions, making their elimination less significant.
- Single-incision techniques may not align with patient preferences for pain and cosmetic outcomes.
