The comparison of single incision laparoscopic cholecystectomy and three port laparoscopic cholecystectomy: prospective randomized study

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dc.authorid0000-0003-3274-973Xen_US
dc.contributor.authorDeveci, Uğur
dc.contributor.authorBarbaros, Umut
dc.contributor.authorKapakli, Mahmut Sertan
dc.contributor.authorManukyan, Manuk Norayk
dc.contributor.authorSimsek, Selcuk
dc.contributor.authorKebudi, Abut
dc.contributor.authorMercan, Selcuk
dc.contributor.authorDeveci, Uğur
dc.date.accessioned2024-07-12T21:44:08Z
dc.date.available2024-07-12T21:44:08Z
dc.date.issued2013en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractPurpose: Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Single incision laparoscopic surgery (SILS) was developed with the dim of reducing the invasiveness of conventional laparoscopy. In this study we aimed to compare results of SILS cholecystectomy and three port conventional laparoscopic (TPCL) cholecystectomy prospectively. Methods: In this prospective study, 100 patients who underwent laparoscopic cholecystectomy for gallbladder disease were randomly allocated to SILS cholecystectomy (group 1) or TPCL cholecystectomy (group 2). Demographics, pathologic diagnosis, operating time, blood loss, length of hospital stay, complications, pain score, conversion rate, and satisfaction of cosmetic outcome were recorded. Results: Forty-four SILS cholesystectomies (88%) and 42 TPCL cholecystectomies (84%) were completed successfully. Conversion to open surgery was required for 4 cases in group 1 and 6 cases in group 2. Operating time was significantly longer in group 1 compared with group 2 (73 minutes vs. 48 minutes; P < 0.05). Higher pain scores were observed in group 1 versus group 2 in postoperative day 1 (P < 0.05). There was higher cosmetic satisfaction in group 1 (P < 0.05). Conclusion: SILS cholecystectomy performed by experienced surgeons is at least as successful, feasible, effective and safe as a TPCL cholecystectomy. Surgeons performing SILS should have a firm foundation of advanced minimal access surgical skills and a cautious, gradated approach to attempt the various procedures. Prospective randomized studies comparing single access versus conventional multiport laparoscopic cholecystectomy, with large volumes and long-term follow-up, are needed to confirm our initial experience. (ClinicalTrials.gov Identifier: NCT01772745.)en_US
dc.identifier.doi10.4174/jkss.2013.85.6.275
dc.identifier.endpage282en_US
dc.identifier.issn2233-7903
dc.identifier.issn2093-0488
dc.identifier.issue6en_US
dc.identifier.pmid24368985en_US
dc.identifier.scopus2-s2.0-84892929682en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage275en_US
dc.identifier.urihttps://dx.doi.org/10.4174/jkss.2013.85.6.275
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7677
dc.identifier.volume85en_US
dc.identifier.wosWOS:000327682600004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKOREAN SURGICAL SOCIETYen_US
dc.relation.ispartofJOURNAL OF THE KOREAN SURGICAL SOCIETYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY02066
dc.subjectSurgeryen_US
dc.subjectLaparoscopyen_US
dc.subjectCholecystectomyen_US
dc.titleThe comparison of single incision laparoscopic cholecystectomy and three port laparoscopic cholecystectomy: prospective randomized studyen_US
dc.typeArticle
dspace.entity.typePublication

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