Optimal indication for single-incision laparoscopic cholecystectomy in benign gallbladder diseases.

Min-Su Park
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Abstract

Laparoscopic cholecystectomy has become a basic procedure for cholecystectomy due to rapid recovery and cosmetic satisfaction after surgery, and it is currently the primary treatment for most benign gallbladder diseases. Thanks to advances in laparoscopic equipment and techniques, single-incision laparoscopic cholecystectomy (SILC) was introduced. Initially, SILC was performed only on highly selected patients due to the high proficiency required and the potential collision of surgical instruments due to the narrow operating space. However, as surgeons gradually accumulated experience with it and various surgical equipment was introduced, the indications were gradually expanded. Nevertheless, clear indications for SILC have not yet been established. If continuous technological development and large-scale SILC clinical results are accumulated, the indications for SILC will be clearer and can be expanded in the future.

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良性胆囊疾病单切口腹腔镜胆囊切除术的最佳适应证。
腹腔镜胆囊切除术因其恢复快、术后美观满意,已成为胆囊切除术的基本手术方式,是目前大多数胆囊良性疾病的首选治疗方法。由于腹腔镜设备和技术的进步,引入了单切口腹腔镜胆囊切除术(SILC)。最初,由于对熟练程度要求高,且手术空间狭窄,手术器械可能发生碰撞,因此仅对精选的患者进行SILC手术。但随着外科医生经验的逐渐积累和各种手术设备的引进,适应症逐渐扩大。然而,SILC的明确适应症尚未确定。如果持续的技术发展和大规模SILC临床结果的积累,SILC的适应症将更加清晰,未来可以扩大。
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