Anand Shanmugaiah1, Manash Ranjan Sahoo2
Laparoscopic cholecystectomy is the standard procedure for gall stone disease. Traditionally, it is performed using multiple small sites. With the introduction of notes, single incision laparoscopic surgery has emerged as an alternative technique to improve cosmesis and minimise complication associated with multiple incisions.
MATERIALS AND METHODS
This study was conducted in SCB Medical College, Cuttack from July 2013 to September 2014. A total of 60 patients undergoing laparoscopic cholecystectomy was taken up for this study. 30 patients underwent SILC and 30 underwent four port laparoscopic cholecystectomy (4 PLC). All intraoperative and postoperative parameters were compared between these two groups.
The incidence of intraoperative complications were similar in both groups. The duration of surgery was more in SILC. The postoperative pain was less in SILC and the wound length was significantly short in SILC when compared to 4 PLC.
SILC is a better choice for the patient in experienced hands, but simultaneously experience in 4 PLC is inevitable.