A Trial of Single Incision Versus Four Ports Laparoscopic Cholecystectomy

Estudio Prospectivo Aleatorizado de la colecistectomía laparoscópica Por Puerto único vs colecistectomía laparoscópica Por Cuatro Puertos en Pacientes Con Colelitiasis sintomática y régimen de cirugía Sin Ingreso.

Background: Single-incision laparoscopic cholecystectomy (SILC) is increasingly being used as a minimally invasive surgery with potential benefits over 4-port laparoscopic cholecystectomy (LC) in terms of postoperative pain and faster recovery.

Methods: Seventy-three patients with symptomatic cholelithiasis were randomized to SILC (n=37) or LC (n=36). Data measures included operative details, adverse events, postoperative pain and analgesic requirements, success of the ambulatory process, return to normal activity and return to work, cosmetic results and quality of life score.

Inclusion Criteria:

• age higher than 18 and lower than 80
• American Society of Anesthesiologists class (ASA) I-II,
• absence of any previous anesthetic complication,
• accompaniment by a responsible adult during 24 hours,
• symptomatic gallstones candidate to cholecystectomy
• and a signed informed consent.

Exclusion Criteria:

• a Body Mass Index (BMI) higher than 35,
• any laparoscopic contraindication,
• acute cholecystitis background, suspect of Mirizzi's Syndrome, common duct stones or malignancy,
• anti-inflammatory allergy
• psychiatric history that could hinder ambulatory procedure