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

Chinda Akethong MD*, Thiti Sawaengtham MD*

Affiliation : * Department of Surgery, Nakhonpathom Hospital, Nakhonpathom, Thailand

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)

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