Hosseini Seyed Vahid, Solhjou Zhabiz, Pourahmad Saeedeh, Rahimikazerooni Salar, Gabash Khairallah Muzhir, Bagherpourjahromi Ali, Rezaianzadeh Abbas, Bahrami Faranak
Professor of General Surgery, Fellowship of Colorectal Surgery, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Adv Biomed Res. 2015 Aug 10;4:161. doi: 10.4103/2277-9175.162530. eCollection 2015.
Single-incision laparoscopic cholecystectomy (SILC) is a newly developed method of performing cholecystectomy and has been increasingly used. The aim of this study is to see if SILC has any advantages over conventional (three-port) laparoscopic cholecystectomy (CLC).
In this cross-sectional study, 52 patients who underwent SILC (group A) during the period from May 2011 to March 2013 were compared with 62 patients who underwent CLC (group B) at two centers affiliated to Shiraz University of Medical Sciences in Shiraz, Iran. Data were gathered on operation time, pre- and postoperative complications, patients' postoperative pain, pain reliever use, duration of hospital stay, and return to work, and these data were compared using SPSS software version 16.
The mean age of patients was 38.01 ± 13.24 in group A and 44.82 ± 15.11 in group B. Mean body mass index (BMI) was 23.97 ± 4.78 and 26.22 ± 4.67 in groups A and B, respectively. The mean operation time was 76.4 ± 29.0 min in group A and 72.9 ± 24.1 min in group B (P = 0.496). Preoperative complications were 3.8% in group A and 0 in group B (P = 0.206). Postoperative complications were 17.3% in group A and 11.3% in group B (P = 0.423). The mean for early postoperative pain revealed no significant difference (P = 0.814), but the mean pain on discharge was significantly higher in group A patients (P = 0.034). Regarding the mean admission time and return to normal activity, we found no significant differences.
SILC does not have any special advantages over CLC with regard to surgical outcomes, but it can be a safe alternative to CLC, especially in patients concerned about cosmoses.
单孔腹腔镜胆囊切除术（SILC）是一种新开发的胆囊切除手术方法，且应用越来越广泛。本研究旨在探讨SILC是否比传统（三孔）腹腔镜胆囊切除术（CLC）具有任何优势。
在这项横断面研究中，将2011年5月至2013年3月期间在伊朗设拉子医科大学附属的两个中心接受SILC手术的52例患者（A组）与接受CLC手术的62例患者（B组）进行比较。收集手术时间、术前和术后并发症、患者术后疼痛情况、止痛药物使用情况、住院时间和恢复工作等数据，并使用SPSS 16.0软件对这些数据进行比较。
A组患者的平均年龄为38.01±13.24岁，B组为44.82±15.11岁。A组和B组的平均体重指数（BMI）分别为23.97±4.78和26.22±4.67。A组的平均手术时间为76.4±29.0分钟，B组为72.9±24.1分钟（P = 0.496）。A组术前并发症发生率为3.8%，B组为0（P = 0.206）。A组术后并发症发生率为17.3%，B组为11.3%（P = 0.423）。术后早期疼痛的平均值无显著差异（P = 0.814），但A组患者出院时的平均疼痛程度显著更高（P = 0.034）。关于平均住院时间和恢复正常活动情况，我们未发现显著差异。
在手术结果方面，SILC与CLC相比没有任何特殊优势，但它可以作为CLC的一种安全替代方法，特别是对于那些关注美观的患者。
