Study compares Single-Incision with standard 4-port Laparoscopic cholecystectomy
A research team of AIMS, New Delhi have found that the Single-Incision Laparoscopic Cholecystectomy (SILC) is safer with a higher cosmetic score and comparable quality of life (QoL) but with a higher incidence of complication when compared with standard 4-port Laparoscopic cholecystectomy. The study details were published in the Indian Journal of Surgery on 23 January 2020.
Four-port laparoscopic cholecystectomy (LC) is the gold standard treatment for symptomatic gallbladder disease. To reduce the invasiveness of standard four-port laparoscopic cholecystectomy, a single umbilical incision laparoscopic cholecystectomy has come about an attractive option for the performance of laparoscopic cholecystectomy. Laparoscopy through a single umbilical incision is an emerging technique supported by case series, but prospective comparative data are lacking on SILC especially in the Indian subcontinent. For the same purpose, researchers in AIMS conducted a prospective study to compare the outcomes of SILC with the standard four-port LC.
It was a randomized-controlled prospective comparative study in 94 patients with symptomatic cholelithiasis between May 2012 and April 2014. Patients were randomized to either standard four-port laparoscopic cholecystectomy (LC group) or single-incision laparoscopic cholecystectomy (SILC group). Demographic profile, preoperative and intraoperative variables, postoperative complications, hospital stay, and pain scores were recorded. Patients were followed up at regular intervals, and satisfaction scores were recorded. Researchers used WHO-QoL BREF to assess the quality of life.
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