TH8.3 Single incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy- A rural center experience

Abstract

Abstract Aim Single Incision Laparoscopic Surgery (SILS) is a new technique of minimally invasive surgery using a single incision to minimize all ports to one site for a perceived scar less abdomen compared to conventional laparoscopic surgery in terms of complications and patient satisfaction. Materials & Methods We report our study conducted in southern India from September 2015 to October 2016, evaluating the possible advantages of SILS versus CLC through a randomized controlled trial. The study population includes patients diagnosed as cholelithiasis. A total of 50 patients underwent cholecystectomy, Patients were randomly assigned to either SILS cholecystectomy or conventional cholecystectomy in 1:1 ratio. Primary end points were operative time, postoperative pain quantified using visual analogue scale, post operative hospital stay and patient satisfaction. Results The pain scores measured at 48 hours were significantly lower in SILS (1.3) group than CLC group (2.03). Patients had significant satisfaction score in terms of cosmesis in SILS group (4.25) than Lap cholecystectomy group (3.08) measured at 6 weeks after cholecystectomy. However the post operative stay was similar in both the groups. There was no conversion to open cholecystectomy in both the groups. Patient satisfaction score in SILC (4.25) as found to be higher than CLC (3.08). Operating time was significantly more in SILC (85mins) and post operative stay was lower in SILC. Conclusion Based on this SILS offers better cosmetic outcome, however, due to prolonged operating time and steep learning curve CLC is considered a better procedure.