Comparative study of pain in women submitted to conventional laparoscopic cholecystectomy versus single-port laparoscopic cholecystectomy

Júverson Alves Terra Júnior,Simone Souza Lima,Tharsus Dias Takeuti,Marisa De Carvalho Borges,Luciana Garcia Pereira Castro,Guilherme Azevedo Terra,Eduardo Crema,Luciane Fernanda Rodrigues Martinho Fernandes,Alex Augusto Da Silva

doi:10.1590/s0102-865020170060000008

Abstract

To evaluate postoperative pain in patients submitted to conventional laparoscopic cholecystectomy with four ports versus single-port laparoscopic cholecystectomy with only one port. Twenty-one patients were included in the conventional laparoscopic cholecystectomy group and 19 other patients in the single-port laparoscopic cholecystectomy group. A VAS was used for the assessment of postoperative pain at three time points. Differences were considered statistically significant when p<0.05. Intergroup analysis showed no significant difference in VAS scores between the conventional laparoscopic cholecystectomy and single-port laparoscopic cholecystectomy groups at any of the time points studied. This study found no significant difference in postoperative pain between the two groups.

Highlights

Laparoscopic cholecystectomy has become the standard surgical intervention for patients with benign gallbladder disease[1]
After several technical modifications made over decades, a single incision in laparoscopic cholecystectomy has been described as an alternative procedure in an attempt to reduce surgical trauma, to improve esthetic outcomes, and to reduce complication rates at the incision site and postoperative pain[2,3]
The aim of the present study was to evaluate postoperative pain using a unidimensional Visual Analogue Scale (VAS) in women submitted to conventional laparoscopic cholecystectomy (CLC) with four ports versus single-port laparoscopic cholecystectomy (SPLC) in which only a single incision is made in the umbilical region

Summary

Introduction

Laparoscopic cholecystectomy has become the standard surgical intervention for patients with benign gallbladder disease[1]. After several technical modifications made over decades, a single incision in laparoscopic cholecystectomy has been described as an alternative procedure in an attempt to reduce surgical trauma, to improve esthetic outcomes, and to reduce complication rates at the incision site and postoperative pain[2,3]. The evaluation of postoperative pain using a Visual Analogue Scale (VAS) is a simple and efficient tool to measure the intensity of pain. This scale is widely used in clinical practice and laboratories to guide the decisionmaking of professionals so that adequate therapeutic measures can be provided, possible complications can be prevented, and early recovery of patients can be achieved[6,7]

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Conclusion