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A retrospective wound review of standard four-port laparoscopic cholecystectomy: Is there need for single-port laparoscopic surgery?



This study was designed to assess the satisfaction or otherwise of a proportion of the U.K. population who have undergone standard four-port laparoscopic cholecystectomy within the past 18 months. The results should indicate whether there is potential demand for a new, improved approach to surgery.


Patients who underwent laparoscopic cholecystectomy between October 2008 and October 2009 in two geographically separated general hospitals were identified from hospital databases. Notes were reviewed to confirm the technique and lack of conversion to an open procedure. Those who had immediate complications were excluded. A telephone questionnaire was conducted to answer questions related to long-term cosmetic and general satisfaction of the current procedure.


Of the patients surveyed, 93% were happy or extremely happy with the current procedure, 48% experienced some wound-related issues (pain, infection), and 65% of those were at the umbilicus (a possible reflection of location and retrieval site for gallbladder). Cosmesis was rated less important than hospital cleanliness and experience of the surgeon.


Overall satisfaction was high with the existing technique. The high rate of umbilical wound problems is an issue that will not be eradicated by introduction of single-port laparoscopic surgery.

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S.J.W. Monkhouse, E.L. Court, L.A. Beard, J. Bunni, and P. Burgess have no conflicts of interest or financial ties to disclose. All authors contributed equally to this study.

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Correspondence to S. J. W. Monkhouse.

Appendix: Telephone questionnaire

Appendix: Telephone questionnaire


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Monkhouse, S.J.W., Court, E.L., Beard, L.A. et al. A retrospective wound review of standard four-port laparoscopic cholecystectomy: Is there need for single-port laparoscopic surgery?. Surg Endosc 26, 255–260 (2012).

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  • Laparoscopic
  • Cholecystectomy
  • Single incision
  • Cosmesis
  • Satisfaction