COMPARATIVE EVALUATION OF COSMETIC OUTCOME BETWEEN CONVENTIONAL LAPAROSCOPIC CHOLECYSTECTOMY &amp; SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY

Sanjay Kumar,Ashok Kaundal,Suneet Katoch

doi:10.32553/ijmbs.v5i8.2065

Abstract

Aim: Comparative analysis of cosmetic outcome between Single Incision Laparoscopic Cholecystectomy and conventional Laparoscopic Cholecystectomy. Method: Patients suffering from symptomatic cholelithasis were randomly subjected to Single Incision Laparoscopic Cholecystectomy (SILC) and conventional four ports Laparoscopic Cholecystectomy (cLC). Data analyzed included cosmetic outcome, Results: The body image score for SILC group ranged from 30 to 44 with mean score of 40.76 ± 2.773 while that for cLC group ranged from 33 to 42 with mean score of 38.28 ± 1.969. p-value for the comparison stands 0.001 which shows that patients undergoing SILC had better cosmetic perception of their body image compared to cLC group Conclusion: SILC is better cosmetic perception as compare to cLC Keywords: SILC, cLC, Cosmetic outcome

Highlights

Laparoscopic cholecystectomy is a minimally invasive surgery for the treatment of benign gallbladder disease compared to the open cholecystectomy and has been established as a gold standard because of its advantages such as less postoperative pain, better cosmetics, and shorter length of hospital stay.[1]
Patients suffering from symptomatic cholelithasis were randomly subjected to Single Incision Laparoscopic Cholecystectomy (SILC) and conventional four ports Laparoscopic Cholecystectomy
Data analyzed included cosmetic outcome, Results: The body image score for SILC group ranged from 30 to 44 with mean score of 40.76 ± 2.773 while that for cLC group ranged from 33 to 42 with mean score of 38.28 ± 1.969. p-value for the comparison stands 0.001 which shows that patients undergoing SILC had better cosmetic perception of their body image compared to cLC group Conclusion: SILC is better cosmetic perception as compare to cLC Keywords: SILC, cLC, Cosmetic outcome

Summary

Introduction

Laparoscopic cholecystectomy is a minimally invasive surgery for the treatment of benign gallbladder disease compared to the open cholecystectomy and has been established as a gold standard because of its advantages such as less postoperative pain, better cosmetics, and shorter length of hospital stay.[1]. In 1997, single incision laparoscopic cholecystectomy (SILC) was first performed by Navarra et al.[2] Compared to the conventional 4-port surgery that used one instrument per port, this is a multiport method using a transumbilical trocar. Interest in SILC has increased among many surgeons, and various attempts have been made.[3] even though the feasibility and safety of SILC have been demonstrated in many studies comparing SILC and CLC,[4] the feasibility and safety of SILC compared to CLC remains controversial because no clear indications or standard methods have been established due to the technical difficulty of SILC. In the midst of this controversy, our center has developed and implemented a procedure called the Konyang Standard Method (KSM) as a surgical technique for SILC since 2010,5 and KSM has been consistently progressed

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Results