چکیده (انگلیسی):

Background/Objective: Single-incision laparoscopic cholecystectomy (SILC) is
emerging as an alternative to standard four-incision laparoscopic cholecystectomy (4ILC). This
study presents one surgeon’s experience of SILC and a retrospective analysis of the data.
Methods: Sixty-seven consecutive patients treated by a single surgeon and undergoing laparoscopic
cholecystectomy (LC) for benign gallbladder diseases were enrolled. LCs were attempted
with conventional instruments as follows: 24 three-incision laparoscopic
cholecystectomies (3ILC); 10 two-incision laparoscopic cholecystectomies (2ILC); and 33 SILC.
Results: The procedure conversion rate into the SILC, 2ILC, and 3ILC groups was 9.1%, 0%, and
8.3% respectively. Operative time was significantly longer with SILC (111.1
30.34 minutes)
compared to 2ILC (79.1
15.74 minutes) and 3ILC (80.2
29.41 minutes) (p < 0.01). Postoperative
pethidine dosage was significantly lower in the 2ILC group (0.29
0.358 mg/kg)
compared to the 3ILC group (1.02
0.802 mg/kg) (p < 0.05). Length of hospital stay (LOS)
was significantly shorter in the SILC group (2.52
0.566 days) compared to the 3ILC group
(3.1
1.02 days) (p < 0.05). There were no complications.
Conclusions: SILC is a safe and feasible procedure that is comparable to multi-incision laparoscopic
cholecystectomy (MILC). We have introduced a recommended step-by-step training
program. SILC needed longer operative time than MILC but has potential benefits in terms of
LOS and post-operative pain.