Abstract:
Background and objectives
Single incision laparoscopic cholecystectomy has gained popularity due to its
advantages over conventional laparoscopic cholecystectomy.Itssuperior to
conventional laparoscopic cholecystectomy in minimizing the operative scar.In this
study we compared SILS with conventional laparoscopic cholecystectomy (LC).
Materials and methods
A prospective comaparative study of 65 patients was done during the period of
Oct 2013 – July 2015 who presented to hospital with Acute cholecystitis, Chronic
cholecystitis, Cholelithiasis i.e. in conventional laparoscopic cholecystectomy (n =
45) and in Single Incision Laparoscopic Cholecystectomy (n = 20).
Results and Observations
Sixty five patients that were studied prospectively presenting with Calculous
and Acalculous cholecystitis and divided in two groups 45 cases in conventional four
port and 20 cases in SILS. In conventional four port group total male patients were
51.1% (n=23) and females 48.9% (n=22) in single port 60.0% (n=12) and females
40% (n=8) and time taken for surgery in single port is 129.0 min with standard
deviation of 40.2 min and in conventinal four port is 64.4 min with standard deviation
of 28.8 and length of hospital stay was more in SILS 7.1 days compared with four
port and complications were more in single port 35.0% (n=7) than in coventional
four port is 15.6% (n=7). Intra operative complications like difficulty in dissecting
callots triangle, iatrogenic injury to gallbladder, difficulty in dissecting dense
XI
adhesions, injury to CBD which was short and Conversion rate was more in SILS
compared with conventional four port.
Conclusion
From this study we conclude that Single Incision Laparoscopic
Cholecystectomy (SILS) are an emerging technique and has better cosmesis however
owing to its difficult technique and time consuming procedure when away from
midline and high conversion rate, needs expertised hands and lot of learning curve
when compared to Conventional Laparoscopic Cholecystectomy
