2012 Volume 16 Issue 1 Pages 43-48
Since the first laparoscopic cholecystectomy (LC) was reported in 1990, it has met with widespread acceptance as a standard procedure using four ports. In the meantime, single incision laparoscopic cholecystectomy (SILC) was performed by Romanelli in 2008, thereafter SILC has become popular gradually.Twenty-five cases undergoing SILC and twenty-five cases undergoing LC within same period were subjected to a clinical study on safety and advantage. The review included operative time, blood loss, length of hospital stay (LOS), postoperative pain, existence of complication. Postoperative pain was evaluated using postoperative analgesic use as primary outcome measures.Patients in the SILC group had shorter mean operative time (100.2 min. vs 123.5 min.) for the LC group and less blood loss (2.72 ml vs 10.88 ml). Overall LOS, analgesia requirements, and existence of complication were similar between the 2 groups.SILC resulted in less operative time, less blood loss and similar other clinical outcomes. Thus, it can be recommended as a safe alternative procedure in elective laparoscopic cholecystectomy.
