Comparative Study Between Single Port Laparoscopic Cholecystectomy Versus Conventional Laparoscopiccholecystectomy

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