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Objective <p>To summarize the clinical experience of single-incision laparoscopic cholecystectomy (SILC) in our hospital, and to explore the safety and feasibility of its widespread application.</p> Methods <p>This retrospective analysis summarized the clinical data of 2908 patients with benign gallbladder diseases who underwent SILC and 1952 patients who underwent traditional three-port laparoscopic cholecystectomy (LC) at the Department of Hepatobiliary Surgery of 363 Hospital from May 2024 to March 2026. The study compared the surgical duration, intraoperative blood loss, postoperative hospitalization duration, hospitalization costs, postoperative pain scores, complication rates, postoperative wound esthetic satisfaction scores, and overall surgical satisfaction between the two groups.</p> Results <p>There were no statistically significant differences or the effect size was extremely small in objective clinical indicators such as operative duration, intraoperative blood loss, postoperative hospital stay, and hospitalization costs between the SILC group and the LC group. Although the complication incidence rate showed a statistically significant difference between the two groups (<i>P</i> &lt; 0.05), the effect size was extremely small (Cramer’s <i>V</i> = 0.0345). Patients in the SILC group exhibited significantly lower postoperative pain scores at 24&#xa0;h compared to those in the LC group (<i>P</i> &lt; 0.001). Additionally, the SILC group scored higher in postoperative cosmetic satisfaction and overall satisfaction than the LC group, with the difference being statistically significant (<i>P</i> &lt; 0.001).</p> Conclusion <p>There is no significant difference in safety and efficacy between SILC and LC and both demonstrate excellent postoperative cosmetic outcomes, making them worthy of widespread clinical application.</p> Graphical abstract <p></p>

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A comparative study of 2908 cases of transumbilical single-incision laparoscopic cholecystectomy versus 1952 cases of traditional three-incision laparoscopic cholecystectomy in a single center

  • 期刊论文

  • 发表日期：

    2026年7月31日

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  • Weian Tang,
  • Bo Liao,
  • Wei He,
  • Xuezhi Yang,
  • Haibo Zou

摘要

Objective

To summarize the clinical experience of single-incision laparoscopic cholecystectomy (SILC) in our hospital, and to explore the safety and feasibility of its widespread application.

Methods

This retrospective analysis summarized the clinical data of 2908 patients with benign gallbladder diseases who underwent SILC and 1952 patients who underwent traditional three-port laparoscopic cholecystectomy (LC) at the Department of Hepatobiliary Surgery of 363 Hospital from May 2024 to March 2026. The study compared the surgical duration, intraoperative blood loss, postoperative hospitalization duration, hospitalization costs, postoperative pain scores, complication rates, postoperative wound esthetic satisfaction scores, and overall surgical satisfaction between the two groups.

Results

There were no statistically significant differences or the effect size was extremely small in objective clinical indicators such as operative duration, intraoperative blood loss, postoperative hospital stay, and hospitalization costs between the SILC group and the LC group. Although the complication incidence rate showed a statistically significant difference between the two groups (P < 0.05), the effect size was extremely small (Cramer’s V = 0.0345). Patients in the SILC group exhibited significantly lower postoperative pain scores at 24 h compared to those in the LC group (P < 0.001). Additionally, the SILC group scored higher in postoperative cosmetic satisfaction and overall satisfaction than the LC group, with the difference being statistically significant (P < 0.001).

Conclusion

There is no significant difference in safety and efficacy between SILC and LC and both demonstrate excellent postoperative cosmetic outcomes, making them worthy of widespread clinical application.

Graphical abstract