Single port laparoscopic cholecystectomy versus multiple port laparoscopic cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy is the gold standard in the management of symptomatic gallbladder stones. The present study was conducted to compare single port laparoscopic cholecystectomy (SPLC) versus multiple port laparoscopic cholecystectomy (MPLC). Materials & Methods: 60 patients of chronic cholecystitis of both genders were divided into 2 groups of 30 each. Group I underwent single port laparoscopic cholecystectomy (SPLC) and group II patients underwent multiple port laparoscopic cholecystectomy (MPLC). Parameters such as pain, duration of surgery, cosmesis score, patient satisfaction score and complications were recorded and compared. Results: There were 10 males and 20 females in group I and 12 males and 18 females in group II. Duration of surgery was 60.2 minutes in group I and 30.4 minutes in group II. Cosmesis score was 8.12 in group I and 7.51 in group II. Patient satisfaction score was 8.72 in group I and 8.01 in group II. Pain score at day 0 was 3.42 in group I and 2.81 in group II and at day 1 was 1.87 in group I and 1.70 in group II. Common complications were prolonged bile drainage in 2 in group I and 1 in group II, shoulder pain 3 in group I and 6 in group II and post- op biliary colic 1 in group I and 3 in group II. The difference was significant (P< 0.05). Conclusion: Cosmesis score and patient satisfaction score was better with single port LC as compared to MPLC.