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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy
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A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy

机译：单切口与常规四孔腹腔镜胆囊切除术的比较研究

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Introduction: Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. In the 1980s laparoscopic surgery revolutionized the management of biliary tract diseases. It brought about a revolutionary change in the basic concepts of surgical principles and minimal access surgery gradually started to be acknowledged as a safe means of carrying out surgeries. Aim: To investigate the technical feasibility, safety and benefit of Single Incision Laparoscopic Cholecystectomy (SILC) versus Conventional Four Port Laparoscopic Cholecystectomy (C4PLC). Materials and Methods: This prospective randomized control trial was conducted to compare the advantages if any between the SILC and C4PLC. Thirty two patients underwent SILC procedure and C4PLC, each. The age of the patients ranged from 16-60years. Other demographic data and indications for cholecystectomy were comparable in both the groups. Simple comparative statistical analysis was carried out in the present study. Results on continuous variables are shown in Mean ± SD; whereas results on categorical variables are shown in percentage (%) by keeping the level of significance at 5%. Intergroup analysis of the various study parameters was done by using Fisher exact test. SPSS version 22 was used for statistical analysis. Results: The mean operating time was higher in the SILC group (69 ± 4.00 mins vs. 38.53 ± 4.00 mins) which was of statistical significance (p=<0.05). Furthermore, the patients of the SILC group had less post-operative pain, with lesser analgesic requirements (p=<0.05), shorter hospital stay and earlier return to normal activity. Conclusion: SILC is feasible and safe in trained hands. It did not compromise the procedural safety, or lead to any complication. The operating time was longer otherwise it has almost similar clinical outcomes to those of C4PLC
机译：简介：胆石症是全世界普通外科医师遇到的最常见的消化道疾病之一。长期以来，常规或开放性胆囊切除术是该疾病的主要治疗手段。在1980年代，腹腔镜手术彻底改变了胆道疾病的治疗方法。它在外科原理的基本概念上带来了革命性的变化，微创手术逐渐开始被认为是进行手术的安全方法。目的：探讨单切口腹腔镜胆囊切除术（SILC）与常规四孔腹腔镜胆囊切除术（C4PLC）的技术可行性，安全性和收益。材料和方法：进行了这项前瞻性随机对照试验，比较了SILC和C4PLC之间的优势。分别对32例患者进行了SILC程序和C4PLC。患者的年龄为16-60岁。两组的其他人口统计学数据和胆囊切除术适应症均相当。在本研究中进行了简单的比较统计分析。连续变量的结果以平均值±标准差表示;而分类变量的结果则通过将显着性水平保持在5％来以百分比（％）的形式显示。使用Fisher精确检验对各种研究参数进行组间分析。使用SPSS 22版进行统计分析。结果：SILC组的平均手术时间更长（69±4.00分钟vs. 38.53±4.00 min），具有统计学意义（p = <0.05）。此外，SILC组的患者术后疼痛更少，止痛要求更低（p = <0.05），住院时间更短，恢复正常活动的时间更早。结论：SILC在经过培训的手中是可行且安全的。它不会损害程序安全性，也不会导致任何并发症。手术时间更长，否则其临床结果几乎与C4PLC相似

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