Is Conventional Laparoscopy Better Than the Single Incision Laparoscopy for Cholecystectomy: A Narrative Review

Abstract

Gallstone disease is one of the most common problems affecting digestive tract. The prevalence of gallstones is related to factors like age, gender and ethnic background. The prevalence of gallstone varies widely from place to place. It is estimated that approximately 20-25 million people in the United States have gallstones and that approximately 1 million new cases of cholelithiasis develop each year. Cholelithiasis is 10-15% prevalent in India and approximately 1-2% of asymptomatic patients will develop symptoms and require cholecystectomy each year. Its occurrence has been found to be at least 7.4% in adult population of North India. There has also been a remarkable shift in the trend of gall stone disease from middle aged, fertile, fat, females to young asthenic females in their twenties. Changing incidence in India is mainly attributed to westernization of diet, change in socioeconomic structure and availability of ultrasound as investigation in both rural and urbanareas. The current review was done to determine the efficacy of conventional laparoscopic cholecystectomy in comparison to single incision laparoscopic cholecystectomy.