Early Experience of Single Port Laparoscopic Cholecystectomy & Comparisons of Single Port and Three Port Laparoscopic Cholecystectomy

Jeong, Jin Yong; Choi, Eun Hye; Kim, Woo Young

Abstract

PURPOSE
Laparoscopic cholecystectomy is a standard procedure for cholelithiasis. However, with the advance of minimal invasive surgery, much research has recently been performed into single port laparoscopic surgery (SPLS).1 The aim of this study is to evaluate single port laparoscopic cholecystectomy (SPLC) in comparison to the classical method (three port laparoscopic cholecystectomy, TPLC) through our initial experience.
METHODS
This study was performed retrospectively by a review of medical charts and phone calls to patients. We checked for chronic calculous cholecystitis or cholesterol polyps in 56 patients who had undergone cholecystectomy between April 2009 and February 2010. We divided into two groups the patients who had undergone SPLC and TPLC. We then checked the sex, age, hospital day, operating time, mobilization time, pain scale, cosmetic satisfaction, surgical wound infection and BMI for each patient.
RESULTS
Cosmetic satisfaction with SPLC was higher than with the classical method, but this was not significant. Hospital day and mobilization time of SPLC were shorter, but this was also not significant. There was no difference in patient age, hospital day, mobilization and BMI between SPLC and TPLC. The operating time and pain scale with TPLC were less than with SPLC.
CONCLUSION
SPLC has the benefit of cosmetic satisfaction and relatively fewer complications. However, the operating time and pain scale of SPLC are higher than those of TPLC. Therefore, SPLC requires much concentration and effort from the surgeon to compensate for its deficiencies.