Critical appraisal of single port access cholecystectomy.

Détails

ID Serval
serval:BIB_8518C996BD19
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Critical appraisal of single port access cholecystectomy.
Périodique
British Journal of Surgery
Auteur(s)
Allemann P., Schafer M., Demartines N.
ISSN
1365-2168[electronic], 0007-1323[linking]
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
97
Numéro
10
Pages
1476-1481
Langue
anglais
Résumé
BACKGROUND: Single port access (SPA) cholecystectomy is a new concept in laparoscopic surgery. A review of existing results was performed to evaluate critically the current state of SPA with specific reference to feasibility, safety, learning curve, indications and cost-effectiveness.
METHODS: All papers identified in MEDLINE until 15 February 2010 and all other relevant papers obtained from cited references were reviewed, without any language restriction. Case reports and series of fewer than three patients were excluded.
RESULTS: After selection, 24 studies including 895 patients were analysed. None was randomized. Feasibility seems to be established, with a conversion rate of 2 per cent. SPA was not standardized and there was much technical variation. The learning curve could not be determined. Median follow-up time was 3 (range 0.25-12) months. The overall published complication rate was 5.4 per cent and the biliary complication rate 0.7 per cent. The rate of umbilical complications ranged from 2 to 10 per cent.
CONCLUSION: SPA cholecystectomy seems feasible, but standardization, safety and the real benefits for patients need further assessment. Uncontrolled wide adoption of this approach may be responsible for a rise in biliary complications.
Mots-clé
Cholecystectomy, Laparoscopic/adverse effects, Cholecystectomy, Laparoscopic/economics, Clinical Competence/standards, Cost-Benefit Analysis, Feasibility Studies, Humans, Postoperative Complications/etiology
Pubmed
Web of science
Création de la notice
13/10/2010 15:46
Dernière modification de la notice
03/03/2018 18:56
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