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J Med Assoc Thai. 2013 Sep;96(9):1143-6.

Comparative study: single-incision laparoscopic cholecystectomy and conventional three-ports laparoscopic cholecystectomy.

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  • 1Department of Surgery, Nakhonpathom Hospital, Nakhonpathom, Thailand.

Abstract

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.

PMID:
24163989
[PubMed - indexed for MEDLINE]
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