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RANDOMIZED CONTROLLED TRIALS Randomized Controlled Trial Comparing Single-Port Laparoscopic Cholecystectomy and Four-Port Laparoscopic Cholecystectomy Jun Ma, MD, PhD, Maria A. Cassera, BS, Georg O. Spaun, MD, Chet W. Hammill, MD, Paul D. Hansen, MD, and Shaghayegh Aliabadi-Wahle, MD 6–8 0.77% to 3.0% hernia rate at these port sites. Efforts to improve Objective: To compare short-term surgical outcomes and quality of life outcomes of laparoscopic cholecystectomy precipitated the advent of (QOL) between single-port laparoscopic cholecystectomy (SPLC) and classic 9,10 single-port laparoscopic cholecystectomy (SPLC) in the 1990s. 4-port laparoscopic cholecystectomy (CLC). The proposed clinical advantages of SPLC over classic 4-port laparo- Background: There is significant interest in further reducing the trauma asso- scopic cholecystectomy (CLC) include fewer port sites with reduced ciated with surgical procedures. Although a number of observational studies risk for wound infection, faster recovery, less postoperative pain and have suggested that SPLC is a feasible alternative to CLC, there is a lack of improved cosmesis. These benefits have been suggested by a number data from randomized studies validating any benefit over CLC. 9,11–17 of nonrandomized retrospective and observational studies. The Methods: Eligible patients were randomized to receive SPLC or CLC. Opera- potential disadvantages of SPLC include learning curve
Annals of Surgery – Wolters Kluwer Health
Published: Jul 1, 2011
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