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Related Experiment Video

Updated: May 4, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Single port versus multiple port laparoscopic cholecystectomy-a comparative study.

A Sharma1, V Soni1, M Baijal1

  • 1Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, Saket, New Delhi 110017 India.

The Indian Journal of Surgery
|January 16, 2014
PubMed
Summary

Single port laparoscopic cholecystectomy (SPLC) offers improved cosmetic outcomes and patient satisfaction compared to multiport laparoscopic cholecystectomy (MPLC). While initial pain may be slightly higher, SPLC is feasible and safe for selected patients, though operative ergonomics need refinement.

Keywords:
Learning curvePatient assessed cosmesisPatient satisfaction scoresSingle incision laparoscopic surgerySingle port laparoscopic cholecystectomyX cone®

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Outcomes
  • Patient-Reported Benefits

Background:

  • Single port laparoscopic cholecystectomy (SPLC) aims to reduce post-operative morbidity and enhance cosmetic results.
  • Comparative studies are needed to evaluate the feasibility, safety, and patient-perceived advantages of SPLC.

Purpose of the Study:

  • To compare the feasibility, safety, and perceived benefits of single port laparoscopic cholecystectomy (SPLC) versus multiport laparoscopic cholecystectomy (MPLC).
  • To assess post-operative pain, surgical complications, cosmesis, and patient satisfaction.

Main Methods:

  • A prospective comparative study involving 104 patients undergoing SPLC and 104 patients undergoing MPLC.
  • SPLC utilized a specialized port system with a 5mm extra-long telescope and three instrument ports.
  • MPLC employed a traditional four-port technique, with both groups prioritizing the critical view of safety during dissection.

Main Results:

  • Post-operative pain scores were slightly higher on day 0 for SPLC but equivalent by day 1; breakthrough pain analgesia needs were similar.
  • Surgical complication rates were comparable between SPLC (17.3%) and MPLC (21.2%).
  • SPLC demonstrated significantly higher patient-assessed cosmesis (p=0.003) and satisfaction scores (p=0.004), despite a longer operative time (61 min vs. 26 min).

Conclusions:

  • Single port laparoscopic cholecystectomy (SPLC) is a feasible and safe procedure for selected patients, offering superior cosmetic outcomes and patient satisfaction.
  • Challenges in operative ergonomics for SPLC persist.
  • Further evidence of efficacy and a high safety profile are needed for SPLC to be considered a standard laparoscopic technique.