Comparison of Single-incision Laparoscopic Cholecystectomy with Standart Laparoscopic Approach

M. Umit Ugurlu, MD, M. Tahir Oruc, MD

Marmara University School of Medicine Dept. of General Surgery,Istanbul, TURKEY; Antalya Teaching and Research Hospital, Department of General Surgery, Antalya,TURKEY

Introduction: Single incision laparoscopic cholecystectomy (SILC) is a rapidly progressing field as it combines cosmetic and minimally invasive advantages. We compared our cases of SILC with standard laparoscopic cholecystectomy (SLC) . ?

Method: Fifty-four patients randomly assigned to two groups; SILC and SLC. The surgical outcomes such as length of stay, complications and perioperative morbidity were analyzed. For evaluation of surgical stress preoperative and postoperative CRP values at 6 h and 24 h were measured. Postoperative pain was evaluated using a standard 10-point visual analogue scale (VAS).

Results: Patients were randomized into two groups (26 SILC, 28 SLC). Mean age for SILC and SLC groups were 47.7 and 51.2 years old. Mean body mass index were 28.6 and 27.9; mean operation times were 44.56 and 46.5 minutes and there were no statistical difference between operation times. Mean length of stay for SILC and SLC groups were 1.5 and 1.8 days and there were no statistical difference between the groups. Mean incision length for SILC and SLC groups were 2 cm and 3.75 cm, there were statistical difference between the groups (p<0.05). Mean pain scores for SLC were higher than the SILC group according to the VAS scores 4 hours and 12 hours after the surgery (6 ± 2.23 vs. 4 ± 1.19 and 5.47 ± 1.14’e vs. 3.64 ± 1.03; p<0.05). Serum CRP levels were found to be higher in SLC group compared to SILC group 6 hours and 24 hours after the surgery (17.2 vs. 25.3 and 33.2 vs. 4.7; p<0.05). No major complications were observed in both groups

Conclusion: Experienced laparoscopic surgeons can safely perform SILC for treatment of gallstones. Low pain scores and low levels of surgical stress parameters makes SILC a good alternative method to standard laparoscopic cholecystectomy.

Session: Poster Presentation

Program Number: P516

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