ArticleHernia : the journal of hernias and abdominal wall surgery2019
Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Long-term Incisional Hernia Rate After Single-Incision Laparoscopic Cholecystectomy (SILC) in Front of Standard Laparoscopy
Does Using a 5 mm Telescope in Laparoscopic Cholecystectomy Reduce the Incidence of Trocar Site Hernia? Multicentric Prospective Randomized Study
Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- Suture-suspension single-incision laparoscopic cholecystectomy versus conventional multiport laparoscopic cholecystectomy: a single-center, prospective, randomized controlled clinical study.Langenbeck's archives of surgery · 2026Trial
- Impact of Ultrasound-Guided Rectus Abdominis Sheath Block on Analgesia and Agitation During the Awakening Period in Children Undergoing Single-Incision Laparoscopic Inguinal Hernia Repair: A Randomized Clinical Trial.Journal of pain research · 2025Trial
- Outcomes and complications of three-incision versus single-incision laparoscopic cholecystectomy: a systematic review and meta-analysis.Updates in surgery · 2026Review
- A single-center experience of over 600 cases of robotic cholecystectomy: a propensity score match analysis.Surgical endoscopy · 2026Article
- Three-port laparoscopic cholecystectomy with common bile duct exploration in situs inverse totalis: a case report and literature review.Frontiers in surgery · 2026Article
- Single-incision laparoscopic cholecystectomy with inflexible laparoscopic instruments and laparoscopy: a single-center experience of 533 cases.BMC surgery · 2025Article
- Oncoplastic breast reconstruction with single-port laparoscopically harvested omental flap: insights from a ten-year tertiary center experience.Breast cancer research and treatment · 2025Article
- Review
- Evolution of minimally invasive cholecystectomy: a narrative review.BMC surgery · 2024Review
- Safety and feasibility of single-incision robotic totally extra-peritoneal repair for inguinal hernia using the da Vinci Xi platform: a single-center prospective pilot study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Incidence and risk factors for umbilical incisional hernia after reduced port colorectal surgery (SIL + 1 additional port)-is an umbilical midline approach really a problem?Langenbeck's archives of surgery · 2022Article
- Trocar-site hernia following laparoscopic salpingo-oophorectomy in a middle-aged Japanese woman: an initial case report after 40 years of experience at a single center and a brief literature review.BMC women's health · 2022Article
- Laparoscopic Single-Incision Triangulated Umbilical Surgery Adrenalectomy for Large (>5 cm) Tumors of the Adrenal Gland: Initial Experience with 16 Cases.Journal of oncology · 2022Article
- Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report.Surgical case reports · 2021Article
- Incisional hernia after minimally invasive gastrectomy in gastric cancer patients.Journal of minimally invasive surgery · 2021Article
- The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study.Surgical endoscopy · 2021Article
- Laparoscopic cholecystectomy with two incisions: an improved, feasible and safe technique with superior cosmetic outcomes.The Journal of international medical research · 2020Article
- Must the Surgeons Move Toward Single-Incision Laparoscopic Surgery Given its Cosmetic Benefits?World journal of surgery · 2020Article
- Trocar-site hernia after gynecological laparoscopic surgery: a 20-year, single-center experience.Chinese medical journal · 2019Article
- The First Additional Port During Single-Incision Laparoscopic Cholecystectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSingle-incision laparoscopic cholecystectomy (SILC) is a feasible technique that provides comparable results to standard laparoscopic cholecystectomy (LC). However, despite the theoretical advantages of minor wound complications and cosmetic results, SILC usually requires a larger incision, which may increase the incidence of incisional hernias. This study evaluated SILC and standard multiport cholecystectomy with respect to perioperative outcomes, hospital stay, cosmetic results, and postoperative complications, including the 5-year incisional hernia rate.
methodsA cohort study was performed with patients who underwent elective laparoscopic surgery for noncomplicated cholelithiasis at our hospital between July 2009 and June 2011. During the study period, there were 45 nonselected patients who underwent SILC, and these patients were compared with a control group of 140 patients who underwent LC using the standard three-trocar technique during the same period. Both patient groups were comparable in age, gender, BMI and ASA classification.
resultsThe mean follow-up was 58.7 ± 10.9 (range 3-80) months. There were no differences between groups in terms of hospital stay, rate and severity of complications, wound infection, and patient cosmetic satisfaction. However, the operating time (57.8 versus 35.2 min) and long-term incisional hernia rate (13.3% versus 4.7%) were significantly higher in the SILC group.
conclusionSILC is associated with a statistically significantly higher long-term incisional hernia rate at the umbilical port site than the standard multiport laparoscopic cholecystectomy. Our data show there was no relevant advantage regarding the postoperative course, hospital stay or cosmetic satisfaction. To date, widespread use of SILC cannot be recommended. Registration number: NCT03768661 (https://www.clinicaltrials.gov).
trial registrationThis study has been registered at www.clinicaltrials.gov. The clinicaltrials.gov ID number is: NCT03768661.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.