Comparative study: single-incision laparoscopic cholecystectomy and conventional three-ports laparoscopic cholecystectomy
Akethong, C.; Sawaengtham, T.
Journal of the Medical Association of Thailand 96(9): 1143-1146
2013
ISSN/ISBN: 0125-2208 PMID: 24163989 Document Number: 11630
Laparoscopic cholecystectomy is now standard treatment of gallstone disease and has traditionally been performed using multiple small sites. Single-incision laparoscopic surgery has emerged as an alternative technique to improve cosmesis and minimize complications associated with multiple incisions pain and longer hospital stay. Between January 2010 and December 2012, 40 patients were assigned to one of the two groups, SILS-C or conventional LC. Surgical indication, operative time, length of stay, and surgical complications were compared between the two groups. Twenty patients underwent SILS-C and 20 patients underwent conventional three ports LC. The average length of stay was 2.60 +/- 0.88 days after SILS-C compared with 2.65 +/- 0.87 days after CLC (p = 0.871). Operative time was significantly longer in the SILS-C group. An average of 65 minutes was needed to complete a SILS-C (range 35-141) versus 51 minutes (range 24-109) for a CLC (p < 0.001). There was no difference in pain score and complications between both groups but SILS-C group use less analgesic (81.00 +/- 36.55 mg in SILS-C vs. 123.00 +/- 42.31 mg in the conventional group). The Single Incision Laparoscopic Cholecystectomy (SILS-C) is feasible and safe. The results of SILS-C were comparable with the standard conventional LC.
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