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Triple, double- and single-incision laparoscopic cholecystectomy: a prospective study
Mehmet Zafer Sabuncuoglu1, Mehmet Fatih Benzin2, Tugrul Cakir3
1Department of Suleyman Demirel University Faculty of Medicine General Surgery Isparta, Turkey.
International Journal of Clinical and Experimental Medicine
|November 25, 2014
Summary
Single incision laparoscopic cholecystectomy (SILC) offers comparable results to triple (TILC) and double incision (DILC) techniques. SILC provides good cosmetic outcomes and reduced pain with no extra cost, making it a viable option.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Laparoscopic surgery advances reduce patient trauma and improve cosmetic outcomes.
- Decreasing incision number enhances patient satisfaction in laparoscopic procedures.
Purpose of the Study:
- To compare outcomes of cholecystectomy using 3, 2, or single incisions.
- Evaluate single incision laparoscopic cholecystectomy (SILC) against traditional multi-incision methods.
Main Methods:
- Prospective evaluation of 95 cholecystectomy patients (2011-2013).
- Patients divided into triple incision laparoscopic cholecystectomy (TILC), double incision laparoscopic cholecystectomy (DILC), and SILC groups.
- Assessment of demographic data, operation time, success rates, analgesia needs, hospital stay, and patient satisfaction.
Main Results:
- All procedures were successful; no transfers to open surgery were needed.
- Mean operation times: TILC (42 min), DILC (45 min), SILC (71 min).
- SILC demonstrated a statistically significant longer operative time compared to TILC and DILC (p < 0.000).
Conclusions:
- Single incision laparoscopic cholecystectomy (SILC) is comparable to DILC and TILC.
- SILC offers good cosmetic results and low analgesia requirements.
- SILC can be performed without additional costs, instrumentation, or specialized training.
