Laparoscopic Cholecystectomy (SILC) with Conventional Three Port Laparoscopic Cholecystectomy

Muhammad Nadeem, HOUSE, OFFICER, Zafar Ali Ch, Professor, Burhan ul Haq, RESIDENT. Jinnah Hospital.

To report our experience with Single Incision Laparoscopic Cholecystectomy (SILC) and its retrospective comparison with conventional 3-port laparoscopic cholecystectomy. Data was collected for all patients undergoing Single Incision Laparoscopic Cholecystectomy(SILC) (Group A n = 45) and data for those who had undergone conventional 3-ports laparoscopic cholecystectomy (Group B n = 45) between April 01, 2011, to November 30, 2011. Operative time was longer with Single Incision Laparoscopic Cholecystectomy (SILC) compared with conventional 3 – ports laparoscopic cholecystectomy. A correlation was seen between reducing SILC operative time and increasing experience. Three patients in the SILC group A required the addition of extra laparoscopic port. No patients in the SILC (group A) required conversion to open surgery. Patients stayed an average of 20 hours following SILC and 30 hours following conventional laparoscopic cholecystectomy. No patient in each group had a postoperative biliary leakage.Single-incision laparoscopic cholecystectomy (SILC) may be equal to conventional laparoscopic cholecystectomy in terms of safety and efficacy.

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