Incisional Hernia Rate May Increase After Single-Port Cholecystectomy

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dc.contributor.authorAlptekin, Hüsnü
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorAcar, Fahrettin
dc.contributor.authorKafalı, M. E.
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T18:30:43Z
dc.date.available2020-03-26T18:30:43Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The major concerns of single-port cholecystectomy are port-site hernia and cost. Essentially, a larger transumbilical incision is more likely to increase the incidence of incisional hernia. The effect of single-port cholecystectomy on hospital cost is controversial. This study evaluated single-port cholecystectomy and traditional four-port cholecystectomy with respect to perioperative outcomes, hospital cost, and postoperative complications. Patients and Methods: Between January 2010 and March 2011, 52 patients underwent single-port cholecystectomy, and 111 patients underwent traditional laparoscopic cholecystectomy. We used equal instruments in patients undergoing operation with the same surgical technique. Demographics, diagnosis, operative data, complications, length of hospital stay, and cost were compared between the two groups. Results: The patients undergoing laparoscopic cholecystectomy were significantly older than patients undergoing single-port cholecystectomy (55.8 +/- 13.8 years versus 48.7 +/- 12.7 years, P = .002). The trocar site hernia rate was 1.8% in laparoscopic cholecystectomy, and the port-site hernia rate was 5.8% in single-port cholecystectomy. This is the highest rate reported in the literature for port-site hernia following single-port cholecystectomy. Surgical techniques were not different in terms of conversion to open surgery, postoperative hospital stay, and operative time. The relative cost of single-port cholecystectomy versus laparoscopic cholecystectomy was 1.54. Conclusions: Although single-port cholecystectomy seems to be a feasible surgical technique, it is not superior over the traditional laparoscopic cholecystectomy. Single-port cholecystectomy is equal to laparoscopic cholecystectomy with respect to conversion to open surgery, postoperative hospital stay, and operative time, but it is associated with high hospital cost and high port-site hernia rate.en_US
dc.identifier.citationAlptekin, H., Yilmaz, H., Acar, F., Kafali, M. E., Sahin, M., (2012). Incisional Hernia Rate May Increase After Single-Port Cholecystectomy. Journal of Laparoendoscopic & Advanced Surgical Techniques, 22(8), 731-737. DOI: 10.1089/lap.2012.0129
dc.identifier.doi10.1089/lap.2012.0129en_US
dc.identifier.endpage737en_US
dc.identifier.issn1092-6429en_US
dc.identifier.issue8en_US
dc.identifier.pmid23039699en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage731en_US
dc.identifier.urihttps://dx.doi.org/10.1089/lap.2012.0129
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28136
dc.identifier.volume22en_US
dc.identifier.wosWOS:000309652800001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAlptekin, H.
dc.institutionauthorAcar, F.
dc.institutionauthorKafali, M. E.
dc.language.isoenen_US
dc.publisherMary Ann Liebert Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleIncisional Hernia Rate May Increase After Single-Port Cholecystectomyen_US
dc.typeArticleen_US

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