Comparative Study: Single-Incision Laparoscopic Cholecystectomy and Conventional Three-Ports Laparoscopic Cholecystectomy

J Med Assoc Thai 2013; 96 (9):1143

Views: 1,517 | Downloads: 43 | Responses: 0

Original ArticleOpen Access

Comparative Study: Single-Incision Laparoscopic Cholecystectomy and Conventional Three-Ports Laparoscopic Cholecystectomy

Akethong C

, Sawaengtham T

Abstract | Full Text | References | Citation| Response

Background: 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.

Material and Method: 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.

Results: 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).

Conclusion: The Single Incision Laparoscopic Cholecystectomy (SILS-C) is feasible and safe. The results of SILS-C were comparable with the standard conventional LC.

Keywords: Laparoscopic cholecystectomy, Single Incision Laparoscopic Cholecystectomy (SILS-C)

Download: PDF