A comparison of single-port laparoscopic cholecystectomy and an alternative technique without a suspension suture
Barlas Sülü, Tülay Diken, Hasan Altun, Turgut Anuk, Bülent Güvendi, Elif İlingi, Musa Sinan Eren, Yusuf Günerhan, Neşet Köksal
Department of General Surgery, Kafkas University Faculty of Medicine, Kars, Turkey
Abstract
Objective: Many surgeons face difficulties during single-incision laparoscopic cholecystectomy (SILC) surgery and are forced to use an additional port. We compared the results of a technique that we developed with SILC.
Material and Methods: Fifty-four patients who were diagnosed with chronic cholelithiasis were prospectively randomized and divided into two groups. An additional 5-mm port (MCAP: with an additional port using a multi-channel device through the umbilicus) was placed in the subxiphoid area instead of a transabdominal suspension suture in one group of patients. The other group was operated on with the SILC technique. The demographic and surgical data of the patients were compared.
Results: The MCAP technique shortened the surgery duration by more than half (MCAP: 35.0±12.3, SILC: 79.1±27.7 min) (p<0.05). No difference was found between the two methods in terms of estimated blood loss, length of hospitalization, postoperative day 1 and 7 visual analog scale scores, need for analgesia in the postoperative period, and rate of changing to another technique due to inadequacy of the surgical technique.
Conclusion: MCAP is as safe as SILC for cholecystectomy and is easier for the surgeon to perform.
Keywords: Cholecystectomy, laparoscopic surgery, minimally invasive, cholelithiasis
Ethics committee approval was received for this study from the ethics committee of Kafkas University Faculty of Medicine (80576354-050-99/35).
Informed patient consent form including their treatment protocol was taken from all patients included in this study.
Externally peer-reviewed.
Concept - B.S.; Design - B.S., T.D., H.A., E.İ., M.S.E., Y.G., N.K.; Supervision - B.S., Y.G., N.K.; Funding - B.S., T.D., H.A., E.İ., M.S.E., Y.G., N.K.; Materials - B.S., T.D., H.A., E.İ., M.S.E., Y.G., N.K.; Data Collection and/or Processing - B.S., H.A., E.İ., M.S.E.; Analysis and/or Interpretation - B.S.; Literature Review - B.S.; Writer - B.S.; Critical Review - B.S., T.D., H.A., E.İ., M.S.E., Y.G., N.K.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.