Single-incision Laparoscopic Cholecystectomy (SILC) versus Conventional Three-Incision Laparoscopic Cholecystectomy; A Single Center Experience

Abstract

Aim: To compare the outcomes of single incisional lap chole (SILC) versus three-incisional lap cholecystectomy. Methodology: A total of one hundred forty-five (145) adult patients of acute/chronic cholecystitis or symptomatic gallstones were included in this study. This study was prospective non-randomized clinical trial and was conducted in a duration of one year from Jan-2014 to Jan-2015. The choice either to use SILC or conventional LC was purely based on operating surgeon’s preference. Conversion to open cholecystectomy, common bile duct (CBD) injury and hospital stay were primary study end-points. Results: Mean patient’s age in SILC group was 40.09+14.26 years and 40.40+12.21 years in conventional group. There was female predominance, with 74.5% females in SILC group and 80.9% in conventional LC group (p-value 0.37). Complications occurred in 4(7.8%) patients in SILC group and in 6(6.4%) patients in conventional group (p-value 0.74). conversion to open laparoscopy was needed in 1(2%) patients in SILC and in 3(3.2%) patients in conventional LC group (p-value 0.66). post-op wound infections occurred in 3 (5.9%) patients in SILC group and in 2(2.1%) patients in 2(2.1%) patients in conventional group (p-value 0.23). Hospital stay was also almost similar 33.29+9.77 hours versus 34.52+16.29 hours in SILC and conventional groups respectively. Conclusion: Outcomes of single incisional laparoscopic cholecystectomy (SILC) are comparable to that of three-incisional conventional laparoscopic cholecystectomy (LC). So SILC can be used as a routine laparoscopy procedure for removal of gallstones.