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- Title
A comparison of single-port laparoscopic cholecystectomy and an alternative technique without a suspension suture.
- Authors
Sülü, Barlas; Diken, Tülay; Altun, Hasan; Anuk, Turgut; Güvendi, Bülent; İlingi, Elif; Eren, Musa Sinan; Günerhan, Yusuf; Köksal, Neşet
- Abstract
Objective: Many surgeons face difficulties during single-incision laparoscopic cholecystectomy (SILC) surgery and are forced to use an additional port. We compared the results of a technique that we developed with SILC. Material and Methods: Fifty-four patients who were diagnosed with chronic cholelithiasis were prospectively randomized and divided into two groups. An additional 5-mm port (MCAP: with an additional port using a multichannel device through the umbilicus) was placed in the subxiphoid area instead of a transabdominal suspension suture in one group of patients. The other group was operated on with the SILC technique. The demographic and surgical data of the patients were compared. Results: The MCAP technique shortened the surgery duration by more than half (MCAP: 35.0±12.3, SILC: 79.1±27.7 min) (p<0.05). No difference was found between the two methods in terms of estimated blood loss, length of hospitalization, postoperative day 1 and 7 visual analog scale scores, need for analgesia in the postoperative period, and rate of changing to another technique due to inadequacy of the surgical technique. Conclusion: MCAP is as safe as SILC for cholecystectomy and is easier for the surgeon to perform.
- Publication
Turkish Journal of Surgery / Ulusal Cerrahi Dergisi, 2014, Vol 30, Issue 4, p192
- ISSN
1300-0705
- Publication type
Article
- DOI
10.5152/UCD.2014.2717