Abstract
The major aim of surgeons has always been a minimalist approach towards surgery, thereby reducing the complications associated with the surgery. The gold standard treatment for cholelithiasis with cholecystitis is currently the four port laparoscopic cholecystectomy (4 PLC). Recently, a newer technique has been introduced which uses a single port, rather than the four ports, for the removal of the gall bladder laparoscopically; it is known as Single Incision Laparoscopic Cholecystectomy (SILC). This is a comparatively minimal approach towards surgery. Therefore the purpose of this review is to compare the advantages and the disadvantages of SILC versus 4PLC, and hence, to give an idea of whether SILC is ready to replace the traditional approach as the new treatment of choice.
Highlights
A newer technique has been introduced which uses a single port, rather than the four ports, for the removal of the gall bladder laparoscopically; it is known as Single Incision Laparoscopic Cholecystectomy (SILC)
Surgery has always been one of the feared treatment options for most of the patients; it has always been the ultimate goal of surgeons all around the world to provide the patients with the best possible surgical option
While the cosmetic result of SILC is appreciated over that of 4 Port Laparoscopic Cholecystectomy (4PLC), SILC has yet to become the gold-standard procedure for surgical removal of gallbladder. This technically difficult (Milas et al, 2014) method has not been available to a large variety of patients. This process is costly this may change as SILC is used more often It is inconclusive as to whether SILC is faster or slower in operative time as compared to 4PLC, due to the reported decrease in mean operative time as experience is gained (Yeo et al, 2012), whereas others reported higher mean operative times
Summary
Surgery has always been one of the feared treatment options for most of the patients; it has always been the ultimate goal of surgeons all around the world to provide the patients with the best possible surgical option. The best possible surgical option has always been the one with the minimum number of complications postoperatively, along with well-controlled pain and minimum stay at hospital. Open cholecystectomy became increasingly popular in the 1980s with less than 1% of mortality rates and an even lower incidence of bile duct injury with morbidity of 0.1-0.2% (Morgenstern, Wong, & Berci, 1992; Roslyn et al, 1993). This traditional procedure was performed through a larger abdominal incision, and had significant associated pain as well as a lengthier recovery period, requiring a longer stay in hospital
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