• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Clinical outcomes of single incision laparoscopic cholecystectomy using standard laparoscopic instrumentation.

Clinical outcomes of single incision laparoscopic cholecystectomy using standard laparoscopic instrumentation.

Erin Moran-Atkin, MD, Nathan Richards, MD, Richard Amdur, PhD, Fred Brody, MD, MBA

Department of Surgery, The George Washington University Medical Center, Washington DC

Background
Recent publications document variable outcomes comparing laparoscopic and single incision cholecystectomies. This study compares a large group of single incision laparoscopic cholecystectomy (SILC) patients versus a traditional laparoscopic four-port group(4PLC). The clinical outcomes as well as narcotic usage were analyzed in this study.

Methods
A consecutive series of 211 patients underwent SILC from August 2008 to September 2012. All cholecystectomies were attempted through a single incision on an intent-to-treat basis. The SILC group entailed standard laparoscopic instrumentation with three 5mm ports. A commercial platform was not used. Patient demographics including height, weight, body mass index (BMI), pathologic diagnosis, ASA classification, operative time, complications, conversion, narcotic use, and length of stay(LOS) were recorded. Data for a matched cohort of patients(n=44) undergoing a traditional 4PLC were used for comparison. Data were compared using a t-test and multivariate analysis with a p<0.05 for statistical significance.

Results
There were no differences in demographics between the two groups. SILC was completed successfully in 73.3% of patients with a colangiogram in 90.5% of patients. The converted-SILC(C-SILC) group vs successfully completed SILC(S-SILC) group weighed significantly more (93.7+/-22.2Kg vs. 81.1+/-18.3Kg, p<0.0001) and had a significantly higher BMI (33.0+/-8.1 vs 29.4+/-6.6, p<0.001). Mean operative times were longer for the S-SILC vs. C-SILC (93.9+/-40.7min vs 75.1+/-18.8min, p<0.0001). Similarly S-SILC operative times were longer than 4PLC group (p<0.006). LOS for S-SILC was significantly shorter vs C-SILC and 4PLC (1.0+/-0.3days vs. 1.7+/-2.0days and 1.4+/-1.3days, p<0.001). Postoperative narcotic use was significantly lower in the S-SILC group compared to the C-SILC and 4PLC group (p<0.05). There was one incisional hernia in the S-SILC group. Male gender, higher ASA and hepatomegaly were associated with conversion to a C-SILC (p<0.006) on multivariate analysis.

Conclusions
The data suggests that morbidly obese individuals, especially men, may require conversion to a four-port cholecystectomy. However a S-SILC is associated with a shorter LOS and fewer narcotics postoperatively. The decrease in postoperative narcotics may reflect a smaller fascial incision at the umbilicus using standard laparoscopic ports versus the incision for a commercial platform. Finally, a commercial platform is not a requirement for a S-SILC.


Session: Poster Presentation

Program Number: P535

65

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals