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• W2957836680 abstract "Background Despite the incremental application of single‐incision laparoscopic cholecystectomy (SILC), this procedure has technical difficulties, including physical disturbance and an unstable surgical view through the small incision; therefore, we introduce the solo SILC (S‐SILC) technique using a laparoscopic scope holder, as a simple, fixed and easy‐to‐perform procedure for an unassisted surgeon. Methods We performed a comparative analysis of S‐SILC ( n = 566) and conventional three‐incision laparoscopic cholecystectomy ( n = 874) performed from January 2013 to December 2016 at multiple centres. Results There was no significant difference of operative time between the two groups ( P = 0.176); however, S‐SILC showed a higher incidence of intraoperative gallbladder perforation, especially in the initial period (17.0% versus 2.3%, P < 0.001); and shorter post‐operative hospital stay (3.3 ± 1.7 versus 1.9 ± 2.7 days, P < 0.001) than conventional three‐incision laparoscopic cholecystectomy. There were no significant differences in major post‐operative complications between the two groups ( P = 0.909) and operation type ( P = 0.971) was not a significant risk factor for major post‐operative complications in multivariate analysis. Conclusion S‐SILC is a feasible and safe procedure; however, careful selection of surgical candidates is necessary in the early period of the experience with this method." @default.
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• W2957836680 date "2019-07-01" @default.
• W2957836680 modified "2023-10-16" @default.
• W2957836680 title "Solo single‐incision laparoscopic cholecystectomy: a safe substitute for conventional laparoscopic cholecystectomy" @default.
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• W2957836680 doi "https://doi.org/10.1111/ans.15347" @default.
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