Emergency single‑incision laparoscopic cholecystectomy for acute cholecystitis: A multi‑center study
- Shamir O. Cawich
- Giovanni Dapri
Affiliations: Department of Surgery, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago, I-24125 Bergamo, Italy, International School of Reduced Scar Laparoscopy, Minimally Invasive General and Oncologic Surgery Center, Humanitas Gavazzeni University Hospital, I-24125 Bergamo, Italy
- Published online on: June 20, 2022 https://doi.org/10.3892/mi.2022.46
Copyright: © Cawich
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Single‑incision laparoscopy is accepted as a safe alternative to multiple port laparoscopy for elective cholecystectomy; however, there are limited data on its use in patients with acute cholecystitis. The present multi‑center study evaluated the outcomes of emergency single‑incision surgeries for acute cholecystitis in hospitals in Belgium, Jamaica, and Trinidad and Tobago over a 5‑year period. Standardized definitions of uncomplicated and complicated acute cholecystitis were used and the data were compared using SPSS software. The results revealed that over the 5‑year period, 108 patients with a mean age of 48±15 years and a mean body mass index of 27±4.2 kg/m2 underwent emergency single‑incision cholecystectomies. The surgeries were successful in 92.1% of cases without supplemental trocars being used. The overall morbidity rates (9.3%) were also comparable to the historic controls with multiple port cholecystectomy. As was expected, the complicated cholecystitis group required a significantly longer operating time (86.11±30.16 vs. 66.79±16.8; P<0.00194), as well as supplemental trocars (7.9%) vs. 0; P=0.0413). On the whole, the present study demonstrates that emergency single‑incision cholecystectomy is a technically feasible and safe procedure for patients with acute cholecystitis. These findings advocate a low threshold to place additional ports to assist with dissection and exposure.