Manabu Watanabe, MD, PhD, Koji Asai, Hiroshi Matsukiyo, Tomoaki Saito, Tomotaka Ishii, Manabu Kujiraoka, Toshiyuki Enomoto, Natsuya Katada, Yoshihisa Saida, Shinya Kusachi. Department of Surgery, Toho University Ohashi Medical Center
Single-incision laparoscopic cholecystectomy (SIL-C) is being rapidly adopted due to its favorable esthetic outcome, but the question remains as to whether it is less invasive than conventional laparoscopic cholecystectomy (LC). Therefore, the invasiveness of SIL-C and LC was compared. Methods: At our hospital, SIL-C is not indicated for cases of cholecystitis of moderate or higher severity. Therefore, 44 cases of SIL-C and 182 cases of LC performed for similar indications over a two-year period were compared. The items investigated were operative time, postoperative pain, duration of postoperative stay, postoperative inflammatory findings, and postoperative complications. Postoperative pain was assessed using a visual analogue scale (VAS). Results: Operative time was significantly longer for SIL-C (104.4±30.8 min) than for LC (78.5±26.8 min), while no significant differences were observed between SIL-C and LC in postoperative pain at any time point (51.6±17.8 vs. 46.5±18.6 on postoperative day (POD) 0, 41.5±20.4 vs. 32.7±18.5 on POD 1, 8.8±7.4 vs.8.9±6.3 on POD 7). The duration of postoperative stay was significantly longer for LC (3.4±1.5 days) than for SIL-C (2.6±0.9 days). No significant between-group differences were observed in postoperative inflammatory findings (temperature and leukocyte count on POD 1). No perioperative complications occurred in either group. Conclusion: While SIL-C is highly favorable in terms of esthetics, it was not shown to be less invasive than LC in the present study.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79526
Program Number: P606
Presentation Session: Poster (Non CME)
Presentation Type: Poster
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