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Meadows and Chamberlain

Average operating time (min)

a

NR

70

NR

40

148

68

123

88

68 143

55 ± 7

Procedural complications(s)

None

None None

None

Difficult dissection (1) Choledochoscope for CBD exploration (2) Bile leak (1) Hemorrhage from cystic artery (1) Difficult dissection (2) None

None

Hemorrhage from visceral artery (1) None Bile leak (1)

None

Number of skin trocar(s)

2

2

3

1

2

1

2

3

1 1

3

Number of skin incision(s)

1

1

1

1

2

1

1

1

1 1

1

Success rate (%)

100

100 100

100

94

0

60

100

100

66

100 92

83

Diagnosis

Cholelithiasis

Acute cholecystitis Cholelithiasis

Acute cholecystitis

Cholelithiasis

Choledocholithiasis

Cholelithiasis

Cholelithiasis

NR

Acute cholecystitis

Acute cholecystitis Cholelithiasis

Cholelithiasis

Table 4 All published series of SiLS cholecystectomy

Number of

Approach to

Authors

attempted cases (N =)

peritoneal cavity

7

Transabdominal

Piskun and Rajpal (1999)

31

3 10

1

18

Transabdominal

Transabdominal

Transabdominal

54

Cuesta et al (2008) Cugura et al (2008) Rao et al (2008)

55

56

2

10

Transabdominal

Palanivelu et al (2008)

59

1

30

3

3 14

10

Transabdominal

Transabdominal

Transabdominal

Transabdominal Transabdominal

Transabdominal

Romanelli et al (2008) Navarra et al (2009) Misiak and Szczepanik (2009) Dutta (2009) in Chow et al (2009) Tacchino et al (2009)

51

60

49

52

53

50

80

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45–90

Subcutaneous hematoma (1) Hepatic injury (1) None

3

1

1

1

2

100

Cholecystitis

Cholelithiasis

2

19

Transabdominal

Merchant et al (2009)

57

Dovepress

,60

30–150

Difficult dissection (1) None

None

None

50

Acute cholecystitis

2

3

2

1

2

100

100

NR

Cholelithiasis

2

22

Transabdominal

Transabdominal

Gumbs et al (2009) Zhu et al (2009)

58

61

100

Gallbladder polyps

4

Notes: One hundred and sixty-three SiLS cholecystectomies were performed. The average operating time of all SiLS cholecystectomy procedures was 85 minutes (range 30–150). Among the 163 cases of SiLS cholecystectomies so far reported, 12 procedural complications occurred (7.36%). NR = not reported.

a

Open Access Surgery 2010:3

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