Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Internal Medicine/Urgent Care


Dr. Elyse Watkins


Cholelithiasis is one of the most common disorders of the digestive tract worldwide and it is most commonly encountered by general surgeons in the world.1 In the early 1980s, open cholecystectomy was the treatment of choice for gallstone disease, but ever since the inception of the laparoscopic surgery in 1997, it has now become the treatment of choice in patients with gallstone disease.2 Laparoscopic techniques are rapidly evolving and moving towards more minimally invasive procedures, which have led to the introduction of single incision laparoscopic cholecystectomy and laparoscopic multiport cholecystectomy.1 The main purpose of conducting this research is to obtain accurate results of these procedures in terms of which approach has lower chances of scar formation and a shorter hospital stay.

The research showed that single incision laparoscopic cholecystectomy (SILC) has better cosmetic results and shorter hospital stay and earlier return to normal activities of daily living compared to multiport laparoscopic cholecystectomy in patients with gallstone disease.1,2,3,4 This is combined with improved overall cosmetic results due to fewer port sites, which leads to improved patient satisfaction in many cases.3 Due to these clinical findings, some researchers have predicted that it may become a standard approach to laparoscopic cholecystectomy (LC).5


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