COMPARATIVE STUDY AMONG SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY AND CONVENTIONAL LAPAROSCOPIC CHOLECYSTECTOMY

PARESH DESAI; PRATIK PARKER; DR.R.C.SHAH

Volume : V, Issue : I, January - 2016

COMPARATIVE STUDY AMONG SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY AND CONVENTIONAL LAPAROSCOPIC CHOLECYSTECTOMY

Paresh Desai, Pratik Parker, Dr. R. C. Shah

Abstract :

BACKGROUND: To study and compare between single incision laproscopic cholecystectomy and conventional laproscopic cholecystectomy. MATERIALS AND METHODS: 50 patients of gall bladder disease in whom Single Incision Laparoscopic Cholecystectomy (SILC) and conventional laproscopic cholecystectomy was conducted in the department of General Surgery at smt NHL municipal Medical College ahmedabad from November 2014 to October 2015. And all patients were divided in two groups. In Group ‘A‘ , 20 patients were included which were operated by Single Incision Laparoscopic Cholecystectomy (SILC) and in Group ‘B‘, 30 patients were included which were operated by conventional laproscopic cholecystectomy. And all the patients were assesed with Intra operative difficulties, Operative Time, Conversion rate from SILC to either Conventional laparoscopic surgery or Open surgery, Post operative pain, Post operative complications, Cosmetic outcome. RESULTS: Average operative time in Conventional laparoscopic cholecystectomy is 85�9.733SD minutes and in single incision laparoscopic cholecystectomy is 111.83�20.53SD minutes. Conversion rate is 20% in SILC and 3.33% in conventional cholecystectomy. Early post operative pain is more in conventional laparoscopic cholecystectomy than single incision laproscopic cholecystectomy. 16 out of 20 (80%) patients was satisfy with single incision laproscopic cholecystectomy according to likert scale and 4 patients of SILC were not satisfy due to wound infections. 3 out of 30 (10%) patients were satisfy with conventional laproscopic cholecystectomy. Surgeon was satisfy with 18 out of 20 (90%) in SILC and 21 out of 30 (70%) in conventional surgery. Post operative wound related complications are more in single incision procedure than conventional surgery. CONCLUSION: Comparison between two procedures in my study concludes that single incision laparoscopic cholecystectomy is better with respect to post operative pain, cosmetic outcome than conventional laparoscopic cholecystectomy. But complication rate is more in single incision procedures due to incision length as well as Operative time and conversion rate is more in single incision procedures due to long learning curve and intra operative technical difficulties. But this learning curve difficulty will be overcome in nearby future with widely acceptance of minimally access surgery concept.