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Related Experiment Video

Updated: Apr 15, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

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Competence acquisition for single-incision laparoscopic cholecystectomy.

Gary B Deutsch1, Sandeep Anantha Sathyanarayana2, Matthew Giangola2

  • 1Department of Surgery, John Wayne Cancer Institute at Saint John's Health Center, Santa Monica, CA, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 8, 2015
PubMed
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Experienced surgeons show no significant learning curve for single-incision laparoscopic cholecystectomy. The least experienced surgeon achieved proficiency within 15 cases, indicating minimal training needed for this minimally invasive procedure.

Area of Science:

  • Minimally invasive surgery
  • Biliary disease management
  • Surgical education and training

Background:

  • Single-incision laparoscopic cholecystectomy (SILC) represents a further advancement in minimally invasive approaches for biliary disease.
  • The adoption of SILC necessitates an understanding of its learning curve for surgeons.

Purpose of the Study:

  • To evaluate the learning curve associated with performing single-incision laparoscopic cholecystectomy.
  • To compare the experiences of four individual surgeons with varying levels of expertise.

Main Methods:

  • Retrospective review of 290 SILC procedures performed by general surgeons at three institutions.
  • Analysis of procedure times, chronologically ordered per surgeon, and grouped into cohorts of 5 and 10 cases.
  • Assessment of operative efficiency and identification of trends in procedure duration.
Keywords:
EducationLaparoscopic cholecystectomyLearning curveProficiencySingle-incision laparoscopic surgery

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Last Updated: Apr 15, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

785

Main Results:

  • Only one surgeon, fellowship-trained with less than 5 years of experience, demonstrated a learning curve, achieving proficiency within 15 cases.
  • Other surgeons exhibited variable procedure times without a clear trend.
  • Increased body mass index correlated with slightly longer operative times; conversion rate to multiport surgery was 3.1%.

Conclusions:

  • Experienced general surgeons do not appear to have a significant learning curve when transitioning to SILC.
  • Sufficient laparoscopic surgery experience (over 5 years) may obviate the need for a distinct SILC learning curve.
  • The least experienced surgeon reached proficiency relatively quickly, suggesting SILC is readily adoptable.