Current status and prospects of single-incision laparoscopic cholecystectomy
10.3760/cma.j.cn115396-20250722-00189
- VernacularTitle:单孔腹腔镜胆囊切除术的现状及展望
- Author:
Xingyu WANG
1
;
Jian DUAN
;
Jinlan HE
;
Zhe QING
;
Hui ZHANG
;
Xudong ZHU
;
Jiafeng JI
Author Information
1. 昆明医科大学第一附属医院普通外科，昆明 650500
- Keywords:
Cholecystectomy, laparoscopic;
Cholecystitis;
Surgical procedures, minimally invasive;
Single-incision laparoscopy
- From:
International Journal of Surgery
2025;52(8):559-563
- CountryChina
- Language:Chinese
-
Abstract:
Single-incision laparoscopic cholecystectomy (SILC) represents a significant evolution in minimally invasive surgery, designed to accomplish cholecystectomy via a single umbilical incision. This approach seeks to reduce abdominal wall trauma while optimizing cosmetic outcomes. SILC is a safe and feasible minimally invasive technique for cholecystectomy under defined conditions; however, its broader adoption will require further evidence-based research and the establishment of standardized protocols to support its widespread implementation. When performed by skilled surgeons in carefully selected patients, SILC demonstrates clinical outcomes comparable to those of conventional multiport laparoscopic cholecystectomy, with notable improvements in incision aesthetics. Nonetheless, the technique is limited by a constrained operative field and a protracted learning curve. In response, continuous advancements in instrumentation and procedural modifications have propelled the further development and clinical integration of SILC. Drawing on current literature and clinical experience, this review delineates the technical characteristics, current clinical applications, primary benefits, and prevailing challenges associated with SILC.
