Atay A, Acar K, Dilek ON. Impact of incision preference and umbilical care on laparoscopic cholecystectomy outcomes: A randomized controlled trial. World J Gastrointest Surg 2026; 18(5): 118264 [DOI: 10.4240/wjgs.v18.i5.118264]
Corresponding Author of This Article
Arif Atay, Associate Professor, Department of Surgery, School of Medicine, İzmir Katip Celebi University, Havaalanı Şosesi No. 33/2, Atatürk OSB, İzmir 35150, Türkiye. atayarif@hotmail.com
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Surgery
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research-article
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Atay A, Acar K, Dilek ON. Impact of incision preference and umbilical care on laparoscopic cholecystectomy outcomes: A randomized controlled trial. World J Gastrointest Surg 2026; 18(5): 118264 [DOI: 10.4240/wjgs.v18.i5.118264]
World J Gastrointest Surg. May 27, 2026; 18(5): 118264 Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.118264
Impact of incision preference and umbilical care on laparoscopic cholecystectomy outcomes: A randomized controlled trial
Arif Atay, Kadriye Acar, Osman Nuri Dilek
Arif Atay, Department of Surgery, School of Medicine, İzmir Katip Celebi University, İzmir 35150, Türkiye
Kadriye Acar, Department of Nursing, Operating Room, İzmir Atatürk Training and Research Hospital, İzmir 35360, Türkiye
Osman Nuri Dilek, Department of General Surgery, İzmir Medicalpark Hospital, İzmir 35230, Türkiye
Co-corresponding authors: Arif Atay and Osman Nuri Dilek.
Author contributions: Atay A contributed to the study conception and design, performed the surgical interventions, and drafted the manuscript; Acar K was responsible for patient communication, data collection, and statistical analysis; Dilek ON contributed to the study by providing academic guidance and overall support; Atay A and Dilek ON contributed equally as co-corresponding authors. All authors approved the final version to publish.
Institutional review board statement: Ethical approval was obtained from the Clinical Trials Ethics Committee, No. 0160.
Clinical trial registration statement: The study was not registered in a public clinical trial registry.
Informed consent statement: Informed consent was obtained from all patients included in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: Data supporting the findings of this study are available from the corresponding author upon reasonable request.
Corresponding author: Arif Atay, Associate Professor, Department of Surgery, School of Medicine, İzmir Katip Celebi University, Havaalanı Şosesi No. 33/2, Atatürk OSB, İzmir 35150, Türkiye. atayarif@hotmail.com
Received: January 7, 2026 Revised: January 31, 2026 Accepted: March 6, 2026 Published online: May 27, 2026 Processing time: 150 Days and 18.6 Hours
Core Tip
Core Tip: Port-site selection and preoperative umbilical preparation are crucial but insufficiently addressed determinants of laparoscopic cholecystectomy outcomes. In this prospective randomized study, transumbilical access combined with targeted umbilical care using chlorhexidine gluconate shortened operative time while improving postoperative cosmetic satisfaction and scar healing. This approach did not increase the rates of surgical site infection or incisional hernia compared with standard periumbilical access. These findings indicate that meticulous umbilical care enables safe transumbilical entry and offers a simple, low-cost strategy to enhance surgical efficiency and patient-centered outcomes in routine laparoscopic cholecystectomy.
