Morcos Rami Kamal Atiya, Oliveira Souza Lima Sergio Rodrigo, Bokhari Syed Faqeer Hussain, Almadhoun Mohammed Khaleel I Kh, Patel Mitwa, Hlyan Nay Phone
General Surgery, Ministry of Health Holdings, Riyadh, SAU.
General Surgery, Ain Shams University Hospitals, Cairo, EGY.
Cureus. 2024 Feb 19;16(2):e54493. doi: 10.7759/cureus.54493. eCollection 2024 Feb.
Single-incision laparoscopic cholecystectomy (SILC) is a minimally invasive surgical technique introduced as an advancement to laparoscopic cholecystectomy (LC). This narrative review delves into the emergence of SILC, emphasizing its distinct advantages such as improved cosmesis, reduced postoperative pain, and potentially faster recovery compared to traditional LC. The study meticulously examines current trends and challenges in SILC, including variations in techniques and their impact on patient outcomes. Furthermore, the article sheds light on the technical intricacies and longer operative times associated with SILC. It aims to contribute valuable insights to the medical community by synthesizing existing literature and recent research findings, fostering a deeper understanding of SILC, and guiding future advancements in minimally invasive surgical approaches. The discussion extends to the learning curve, complications, and a comparative analysis between SILC and traditional LC, offering a nuanced understanding of their respective strengths and limitations. The article concludes with a forward-looking perspective, exploring future directions and innovations in SILC, including advancements in surgical techniques and the integration of innovative technologies, such as robotic assistance and in vivo robots, to enhance precision and efficacy. The call for continued research into the long-term outcomes, safety, and refined patient selection criteria emphasizes the evolving landscape of SILC and its potential to shape the future of minimally invasive abdominal surgeries.
单孔腹腔镜胆囊切除术（SILC）是作为腹腔镜胆囊切除术（LC）的一项进展而引入的一种微创手术技术。这篇叙述性综述深入探讨了SILC的出现，强调了其独特优势，如与传统LC相比，美容效果更佳、术后疼痛减轻以及恢复可能更快。该研究细致地考察了SILC当前的趋势和挑战，包括技术的差异及其对患者预后的影响。此外，文章还揭示了与SILC相关的技术复杂性和较长的手术时间。其目的是通过综合现有文献和最新研究结果，为医学界提供有价值的见解，促进对SILC的更深入理解，并指导微创手术方法的未来进展。讨论还延伸至学习曲线、并发症以及SILC与传统LC之间的对比分析，从而对它们各自的优势和局限性有更细致入微的理解。文章最后以前瞻性视角进行总结，探索SILC未来的方向和创新，包括手术技术的进步以及机器人辅助和体内机器人等创新技术的整合，以提高精准度和疗效。对长期预后、安全性和完善的患者选择标准持续进行研究的呼吁，凸显了SILC不断变化的格局及其塑造微创腹部手术未来的潜力。
