Single-Incision versus Conventional Multiple-Incision Laparoscopic Cholecystectomy at Hat Yai Hospital
Araya Khaimook MD*
Affiliation : * Department of Surgery, Hat Yai Hospital, Hat Yai, Songkhla, Thailand
Objective : To compare single-incision laparoscopic cholecystectomy (SILC) with conventional multiple-incision laparoscopic
cholecystectomy (CMILC)
Material and Method: The data were retrospectively collected for patients undergoing SILC, and CMILC at Hat Yai Hospital
between September 2009 and October 2011. The operative time, hospital stay, postoperative pain, number of narcotic doses,
conversion to open surgery, and postoperative complication were analyzed.
Results : Of SILC/CMILC groups, 107/108 subjects, the mean operative time was 81.1/74.4 minutes, and SILC was statistically
longer (p < 0.001). Among SILC/CMILC group, 9/0 cases required the extra ports, as well as 2/5 cases of conversion to
open surgery. The mean length of stay of SILC/CMILC was statistically longer of 4.6/3.7 days (p = 0.04), in contrast with
the mean postoperative pain at 8 hours was statistically lower of 3.4/4.2 (p = 0.03). Both groups, the postoperative
complication had similar proportion.
Conclusion : Preliminary results of the present study showed SILC to be safe compared with CMILC, although operative
times were longer.
Keywords : Single-incision laparoscopic cholecystectomy, Conventional Multiple-incision Laparoscopic Cholecystectomy
