Author/Authors :
Mahmudzade, Hossein Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Dabbagh, Najmeh Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Soroosh, Ahmadreza Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Khorgami, Zhamak Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Shojaeifard, Abolfazl Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Jafari, Mehdi Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran , Ghorbani Abdehgah, Ali Department of Surgery - Research Center for Improvement of Surgical Outcomes and Procedures - Shariati Hospital - Tehran University of Medical Sciences, Tehran
Abstract :
Background: Surgical technique using small-diameter instruments and single-incision laparoscopy are two new options for less
invasive laparoscopic cholecystectomy (LC). In this study, we have compared mini-LC (MLC) with single-incision LC (SILC). Materials
and Methods: This study is a randomized clinical trial conducted on the patients diagnosed with symptomatic cholelithiasis who
underwent LC. Forty patients were randomized to two equal groups of MLC and SILC. They were compared in terms of demographic
data, operation time, and surgical complications. Results: Baseline characteristics were similar in two groups. Operation time in
MLC was significantly shorter than that in SILC (45.1 ± 69 min vs 63.75 ± 7.57 min, P-value < 0.001). Also, the total length of the
wound in SILC group was shorter than that in MLC group (P-value < 0.003). Postoperative pain scores were similar in two groups.
Hospital stay was shorter in MLC (1.2 ± 0.6 days vs 1.6 ± 0.8 days, P < 0.021). There was no difference in postoperative complications
in two groups. Conclusion: MLC because of less operation time is preferred than SILC. Also, by subjective measures, it was a more
comfortable method compared to SILC.
Keywords :
single-incision laparoscopic cholecystectomy (SILC) , mini-laparoscopic cholecystectomy (MLC) , laparoscopic operation time , incision laparoscopic cholecystectomy , Cholecystectomy
