Commentary |

Is Single-Incision Laparoscopic Cholecystectomy Really Beneficial?

Christophe R. Berney, MB, MD, PhD
Arch Surg. 2012;147(7):589-590. doi:10.1001/archsurg.2012.49.
Text Size: A A A
Published online


In the quest for an even less invasive surgical technique, and perhaps emerging as a better substitute to natural orifice transluminal endoscopic surgery, single-incision laparoscopic surgery (SILS), also known as laparaoendoscopic single-site or single-port access surgery, has grown rapidly in popularity among surgeons during the past few years. The sudden increase in the number of publications on this subject is testament to this. A substantial proportion of these articles relate to gallbladder surgery, which is probably the most suitable approach to study as it can be easily compared with the well-standardized laparoscopic cholecystectomy (LC). Navarra et al1 were the first to describe single-incision laparoscopic cholecystectomy (SILC) in 1997 and since then, several recent large series have shown that this procedure could be performed safely with satisfactory outcome.25 However, what benefit does SILC really offer over the gold-standard multiport LC?

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles