A COMPARATIVE STUDY OF POST OPERATIVE OUTCOMES RELATED TO CBD INJURY AND PAIN SCORE BETWEEN SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY SURGERY AND STANDARD LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Amber Gupta; Dr. Rajeev Sinha

Volume : IX, Issue : VI, June - 2020

A COMPARATIVE STUDY OF POST OPERATIVE OUTCOMES RELATED TO CBD INJURY AND PAIN SCORE BETWEEN SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY SURGERY AND STANDARD LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Amber Gupta, Dr. Rajeev Sinha

Abstract :

Context and aims: To do a comparative study of the feasibility, practicality, advantages and shortcomings of Single Incision Laparoscopic Cholecystectomy (SILC), using conventional ports and instruments; with standard laparoscopic cholecystectomy (SLC) with respect to the post operative pain scores and CBD injury. Study design: This comparative randomised study was conducted in a tertiary care centre teaching hospital, M.L.B. Medical College, Jhansi between October 2017 to March 2019. Result: Post operative pain on Visual Analogue Score (VAS) scale for first 24hours in SILC group was significantly less than that for SLC. No patient underwent bile leakage or bile duct injury in any of the group. Mean operating time in SILC group is significantly more than SLC group (29.9�10.2 mins v/s 22.5�5.1mins) Conclusion: Mortality was nil in the present study. The sample size in our study is small to make any definite conclusion. The procedure can be selectively and judiciously performed by surgeons trained in regular laparoscopic surgery specially those doing 3 port laparoscopic cholecystectomy. Widespread application must await results obtained from level 1 evidence from prospective trials.