To compare single incision laparoscopic cholecystectomy with standard laparoscopic cholecystectomy for treatment of symptomatic cholelithiasis: a prospective randomized study

Gupta, Pranay; Agarwal, Naveen; Gupta, Preeti; Singh, Simar Rajan

doi:10.18203/2349-2902.isj20161164

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…16 Mean postoperative analgesic requirement was significantly less in SILC group similar to various studies. 10,15,17 Secondary aims of our study were to compare various other intra-operative and post-operative parameters In our study, 46.6% patients in SILC group had intraoperative bile spillage. High rate of bile spillage was because of insertion of needle in the gall bladder, needed for retraction.…”

Section: Discussionmentioning

confidence: 99%

Comparison between single incision laparoscopic cholecystectomy using conventional laparoscopic instruments vs. four port laparoscopic cholecystectomy in patients of symptomatic cholelithiasis: a prospective randomised study

Gupta

Jhobta

et al. 2023

Int Surg J

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Background: The desire to reduce invasiveness, pain, discomfort and improve cosmesis and early return of patient to normal activities is the basis for single incision laparoscopic surgery. The primary aim was to compare post-operative pain and the secondary aim to compare duration of surgery, intraoperative bile spill or stone spill, duration of hospital stay, any postoperative complications and cosmetic outcome between SILC and the gold standard for symptomatic gall stone disease, FPLC (Four port laparoscopic cholecystectomy). Methods: A total of 150 patients were randomized into two groups, A (SILC) and B (FPLC). Post-operative pain and other intra-operative and post -operative parameters were compared. Results: The age ranged between 20 years to 76 years most of them being females with body mass index ranging between 19 and 35 kg/m2. Comparison of pain score was done using MEWS scale; which was found to be statistically significantly SILC at 6 hours, mean difference (MD)-0.833 while at 24 hours the difference was not significant (MD- 0.234). Duration of surgery was significantly more (MD-12.17 minutes) in SILC. No addition of port or conversion to open cholecystectomy was required. There were no significant difference between post-operative complications between the two groups. Cosmesis was significantly better in terms of look of the scar (MD-0.867) and recommending it to their relatives (MD-0.700) in SILC group. Conclusions: SILC is a safe and easily learnable procedure which can be safely be done using conventional laparoscopic instruments in low risk patients. Duration of surgery even after expertise is gained remains to be more than FPLC.

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Section: Discussionmentioning

confidence: 99%

Comparison between single incision laparoscopic cholecystectomy using conventional laparoscopic instruments vs. four port laparoscopic cholecystectomy in patients of symptomatic cholelithiasis: a prospective randomised study

Gupta

Jhobta

et al. 2023

Int Surg J

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“…The success of SILC is intricately tied to patient selection criteria. Gupta et al discuss the comparison of cosmetic outcomes between SILC and conventional LC, emphasizing the need to consider demographic and clinical factors when opting for SILC [ 23 ]. Factors such as body mass index, the presence of comorbidities, and the complexity of gallbladder disease play a pivotal role in determining the suitability of patients for SILC.…”

Section: Reviewmentioning

confidence: 99%

“…Moreover, refining patient selection criteria is an area ripe for exploration. Gupta et al emphasized the importance of considering demographic and clinical factors when opting for SILC, indicating that personalized approaches may enhance the success rates of the surgery [ 23 ]. Future research should delve deeper into developing robust criteria that allow for optimal patient selection, thereby maximizing the benefits of SILC.…”

Section: Reviewmentioning

confidence: 99%

A Comprehensive Analysis of Single-Incision Laparoscopic Cholecystectomy: Trends, Challenges, and Future Directions

Morcos,

Oliveira Souza Lima,

Bokhari

et al. 2024

Cureus

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Single-incision laparoscopic cholecystectomy (SILC) is a minimally invasive surgical technique introduced as an advancement to laparoscopic cholecystectomy (LC). This narrative review delves into the emergence of SILC, emphasizing its distinct advantages such as improved cosmesis, reduced postoperative pain, and potentially faster recovery compared to traditional LC. The study meticulously examines current trends and challenges in SILC, including variations in techniques and their impact on patient outcomes. Furthermore, the article sheds light on the technical intricacies and longer operative times associated with SILC. It aims to contribute valuable insights to the medical community by synthesizing existing literature and recent research findings, fostering a deeper understanding of SILC, and guiding future advancements in minimally invasive surgical approaches. The discussion extends to the learning curve, complications, and a comparative analysis between SILC and traditional LC, offering a nuanced understanding of their respective strengths and limitations. The article concludes with a forward-looking perspective, exploring future directions and innovations in SILC, including advancements in surgical techniques and the integration of innovative technologies, such as robotic assistance and in vivo robots, to enhance precision and efficacy. The call for continued research into the long-term outcomes, safety, and refined patient selection criteria emphasizes the evolving landscape of SILC and its potential to shape the future of minimally invasive abdominal surgeries.

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“…Modifications of existing laparoscopic instruments has been made to make SILC easier, however more complex modifications result in more expensive equipment. 6 After its introduction, standard multiport cholecystectomy was for a long time under debate and frequently contradicted, a situation in which nowadays single-port cholecystectomy finds it-self in. Some studies report higher percentages of bile duct injuries, more blood loss and longer operating time when performing single port cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

Single port laparoscopic cholecystectomy compared to the standard laparoscopic cholecystectomy

Kumar¹,

Ahmad²

2019

Int Surg J

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Background: Efforts to improve outcomes of laparoscopic cholecystectomy heralded the advent of single incision laparoscopic cholecystectomy. The objective of this study was to evaluate and compare single port laparoscopic cholecystectomy to the standard laparoscopic cholecystectomy with respect to time required for surgery, postoperative pain, morbidity and complications.Methods: This comparative randomized study was conducted in M.L.B. Medical College, Jhansi among 124 patients. 74 patients were included in the three port laparoscopic cholecystectomy group and 50 in the single port laparoscopic cholecystectomy group. Informed consent was taken. All patients were operated under general anesthesia. Statistical analysis was using independent t-test and chi- square test.Results: The mean operative time was slightly longer in SILC (group I) as compared to CLC/SLC (group II). Postoperative pain on VAS scale in group I after 6 hours (1st day score) was 2.44 in group I and 2.73 in group II (CLC/SLC). But on 2nd day in SILC 1.40 and in CLC/SLC it was 1.81. In SILC (group I) 4 patients out of 50 (8%) developed seroma and 2 patients out of 50 (4%) developed Biliary peritonitis due to the slipped dip. And in SLC/CLC (group II) 3 patients out of 74 (4.05%) developed seroma.Conclusions: SILC can be an effective alternative to traditional CLC/SLC, with the added benefit of minimized scarring and a shorter length of stay. This technique can be performed safely for patients with a multitude of gallbladder diseases without resulting in additional complications.

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To compare single incision laparoscopic cholecystectomy with standard laparoscopic cholecystectomy for treatment of symptomatic cholelithiasis: a prospective randomized study

Cited by 3 publications

References 14 publications

Comparison between single incision laparoscopic cholecystectomy using conventional laparoscopic instruments vs. four port laparoscopic cholecystectomy in patients of symptomatic cholelithiasis: a prospective randomised study

Comparison between single incision laparoscopic cholecystectomy using conventional laparoscopic instruments vs. four port laparoscopic cholecystectomy in patients of symptomatic cholelithiasis: a prospective randomised study

A Comprehensive Analysis of Single-Incision Laparoscopic Cholecystectomy: Trends, Challenges, and Future Directions

Single port laparoscopic cholecystectomy compared to the standard laparoscopic cholecystectomy

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