{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:07:41Z","timestamp":1779196061812,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate two-incision laparoscopic cholecystectomy (2I-LC) in children, and compare outcomes with four-port laparoscopic cholecystectomy (4P-LC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective review was performed on children (\u226421 years) with gallbladder disease treated with 2I-LC or 4P-LC between February 2010 and February 2016. 2I-LC is performed using two 5-mm ports and a 2-mm endoscopic grasper within a 12-mm umbilical incision, and a 3-mm subxiphoid port for dissection. Demographic, diagnostic, operative, and outcome data were recorded, and the two groups were compared with chi-squared, Fisher, and\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests. Patients requiring conversion from 2I-LC to 4P-LC were examined to determine factors predicting the need for additional ports.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three hundred eighty-nine laparoscopic cholecystectomies were performed (2I-LC 72.0%, 4P-LC 19.0%). Body mass index (BMI) was greater in the 4P-LC group. 2I-LC was more commonly performed for biliary dyskinesia, but not biliary colic, acute cholecystitis, choledocholithiasis, and gallstone pancreatitis. Operative time was greater in 4P-LC. There were 6 wound infections (2I-LC 1.8%, 4P-LC 1.5%), 1 common bile duct injury (2I-LC 0.4%, 4P-LC 0.0%), and 1 small bowel injury (2I-LC 0.0%, 4P-LC 1.5%). 2.4% of 2I-LC required conversion to 4P-LC, with BMI and operative time greater than the 2I-LC group, but not different from 4P-LC with no complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>2I-LC is a safe alternative to 4P-LC for pediatric gallbladder disease, allowing for traction and countertraction to expose the critical view. Operative time was longer in the 4P-LC group, likely secondary to selection bias with higher BMI and preoperative diagnosis of gallstone disease. Overweight patients are more likely to require additional ports.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2016.0221","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T15:41:13Z","timestamp":1484322073000},"page":"306-310","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Two-Incision Laparoscopic Cholecystectomy in Children"],"prefix":"10.1177","volume":"27","author":[{"given":"Sarah W.","family":"Lai","sequence":"first","affiliation":[{"name":"Alberta Children's Hospital","place":["Canada"]},{"name":"Rocky Mountain Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven S.","family":"Rothenberg","sequence":"additional","affiliation":[{"name":"Rocky Mountain Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin E.","family":"Shipman","sequence":"additional","affiliation":[{"name":"Rocky Mountain Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saundra M.","family":"Kay","sequence":"additional","affiliation":[{"name":"Rocky Mountain Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethany J.","family":"Slater","sequence":"additional","affiliation":[{"name":"Rocky Mountain Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-9026-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2933-4"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2006.02.053"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0148"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.02.044"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.02.024"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2051-0"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1719-5"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8937"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182583fde"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-011-1785-2"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2012.0129"},{"key":"e_1_3_2_14_2","first-page":"101","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"Strasberg SM","year":"1995","unstructured":"Strasberg SM, , Hertl M, , Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. 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