Related Experiment Video
Updated: Jul 27, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Expanding the indications for single-incision laparoscopic cholecystectomy to all patients with biliary disease: is
Toni Beninato1, David A Kleiman, Ashwin Soni
1Department of Surgery, Division of Endocrine and Minimally Invasive Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY.
Purpose:
The safety of single-incision laparoscopic cholecystectomy (SILC) has been proven in well-selected patients. The objective of this study was to determine whether SILC can be offered to all patients with any indication for cholecystectomy.
Methods:
A total of 173 consecutive SILCs were performed between January 2010 and November 2012 with no exclusion criteria. Demographic data, operative, and postoperative outcomes were prospectively collected and analyzed.
Results:
Patients with acute cholecystitis and gallstone pancreatitis had longer operative times and a higher conversion to 4-port cholecystectomy than patients with biliary colic. Similar relationships were seen when comparing patients with obesity to nonobese patients. There were no differences in complication rates between the groups.
Conclusions:
SILC can be safely offered to patients with a wide spectrum of biliary disease with the understanding that this may result in increased operative times and a higher likelihood of conversion to multiport laparoscopy.
