World Journal of Laparoscopic Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  17 (2024)
Volume  16 (2023)
Volume  15 (2022)
Volume  14 (2021)
Volume  13 (2020)
Volume  12 (2019)
Volume  11 (2018)
Volume  10 (2017)
Volume  9 (2016)
Volume  8 (2015)
Volume  7 (2014)
Volume  6 (2013)
Volume  5 (2012)
Volume  4 (2011)
Volume  3 (2010)
Volume  2 (2009)
Volume  1 (2008)
Related articles

VOLUME 9 , ISSUE 1 ( January-April, 2016 ) > List of Articles

RESEARCH ARTICLE

Comparative Study of Single-incision Laparoscopic Cholecystectomy with Four-port Conventional Laparoscopic Cholecystectomy: A Single-center Experience

Apoorv Goel, Priyanka Chaubey, Atul Gupta, Shalabh Gupta, Ayush Agarwal, Deepak Bhardwaj

Citation Information : Goel A, Chaubey P, Gupta A, Gupta S, Agarwal A, Bhardwaj D. Comparative Study of Single-incision Laparoscopic Cholecystectomy with Four-port Conventional Laparoscopic Cholecystectomy: A Single-center Experience. World J Lap Surg 2016; 9 (1):9-12.

DOI: 10.5005/jp-journals-10033-1261

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Aims and objective

To assess the feasibility of singleincision laparoscopic cholecystectomy (SILC) with conventional laparoscopic instruments and to compare it with four-port conventional laparoscopic cholecystectomy (LC) regarding various intraoperative and postoperative factors.

Materials and methods

This is a prospective randomized controlled study carried out at Santosh Medical College and Hospitals, Ghaziabad from March 2014 to September 2015. This study included 60 patients with cholelithiasis who were divided into two groups of 30 patients each. Group I was offered four-port conventional LC and group II underwent SILC.

Results and observations

Cholelithiasis was commonly seen in young females. Single-incision laparoscopic cholecystectomy took more operating time than conventional LC due to more operative difficulty. Outcome of SILC was 79.6% (23 of 30). However, postoperative complications and pain (measured by visual analog scale scoring system) were almost the same in both groups. Cosmetic outcome was better in SILC group.

Conclusion

Single-incision laparoscopic cholecystectomy has no added advantage over conventional LC, but it can be performed in selected patients for better cosmetic results.

How to cite this article

Goel A, Chaubey P, Gupta A, Gupta S, Agarwal A, Bhardwaj D. Comparative Study of Single-incision Laparoscopic Cholecystectomy with Four-port Conventional Laparoscopic Cholecystectomy: A Single-center Experience. World J Lap Surg 2016;9(1):9-12.

PDF Share
  1. Blumgart's surgery of the liver, biliary tract and pancreas. 5th ed. Philadelphia: Elsevier Saunders; 2012.
  2. Surgery without scars: report of transluminal cholecystectomy in a human being. Arch Surg 2007 Sep;142(9):823-826.
  3. Three-port versus standard four-port laparoscopic cholecystectomy. Surg Endosc 2003;17:1434-1436.
  4. Two-port laparoscopic cholecystectomy: an innovative new method for gall bladder removal. J Laparoendosc Adv Surg Tech A 1998 Oct;8(5):303-308.
  5. Single incision laparoscopic surgery cholecystectomy; where are we? Acta Clin Croat 2008 Dec;47(4):245-248.
  6. Single incision laparoscopic cholecystectomy: the first 100 outpatients. Surg Endosc 2010 Aug;24(8):1958-1961.
  7. Single incision laparoscopic cholecystectomy. Chirurgia (Bucur) 2014 Nov-Dec;109(6):769-773.
  8. Challenges and lessons learned from NOTES cholecystectomy initial experience: a stepwise approach from the laboratory to clinical application. J Hepatobiliary Pancreat Surg 2009;16(3):249-254.
  9. Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery. Gastrointest Endosc 2007 Dec;66(6):1243-1245.
  10. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med 1992 Jul;37(7):588-594.
  11. One-wound laparoscopic cholecystectomy. Br J Surg 1997 May;84(5):695.
  12. Single-incision laparoscopic cholecystectomy using conventional laparoscopic instruments and comparison with three-port cholecystectomy. Indian J Surg 2015 Dec;77(Suppl 2):546-550.
  13. The real-world application of single incision laparoscopic cholecystectomy. Int J Surg 2014 Dec;12(12):1254-1257.
  14. Single incision laparoscopic cholecystectomy versus laparoscopic cholecystectomy—a matched pair analysis. Langenbecks Arch Surg 2011 Aug;396(6):819-824.
  15. Single-incision laparoscopic cholecystectomy vs conventional laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials. J Gastrointest Surg 2012 Aug;16(8):1618-1628.
  16. Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy. Surg Endosc 2012 May;26(5):1296-1303.
  17. Single-incision laparoscopic surgery vs conventional multiport cholecystectomy: systematic review and meta-analysis. Surg Endosc 2012 May;26(5):1205-1213.
  18. Prospective randomized comparative study of single incision laparoscopic cholecystectomy versus conventional fourport laparoscopic cholecystectomy. Am J Surg 2011 Sep;202(3):254-258.
  19. No difference in incidence of port-site hernia and chronic pain after single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy: a nationwide prospective, matched cohort study. Surg Endosc 2015 Nov;29(11):3239-3245.
  20. Postoperative complications following single-incision laparoscopic cholecystectomy: a retrospective analysis in 360 consecutive patients. Surg Endosc 2015 Mar;29(3):708-713.
  21. A randomized controlled trial comparing post-operative pain in single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy. World J Surg 2015 Apr;39(4):897-904.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.