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WJOLS
Single-incision Laparoscopic Cholecystectomy vs Conventional Laparoscopic Cholecystectomy
Table 1: Different studies comparing SILC and conventional LC
Mean age Length of stay Operative time Cost Postoperative pain
Study SILC CLC SILC CLC SILC CLC SILC CLC SILC CLC
Culp et al 45 52 0.34 day 0.98 day 65 min 51 min $3700 $3450 – –
Karim et al 46 46.3 22 hours 31 hours 75 min 58 min – – 0.34 0.3
Linden et al 45 46 1 day 2 days 46 min 62 min – – – –
Bucher et al 42 44 0 day 1 day 66 min 64 min – – 2 3
Deveci et al 50 50 1.06 days 1.04 days 73 min 48 min – – – –
the hospital. Pain is also reported less by patients who 2. Culp BL, Cedillo VE, Arnold DT. Single-incision laparoscopic
underwent SILS compared with CLC. Operative time is cholecystectomy versus traditional four-port cholecystectomy.
significantly higher in SILC and is revealed by all the Proc (Bayl Univ Med Cent) 2012 Oct;25(4):319-323.
above studies except Linden et al, which surprisingly 3. Karim MA, Ahmed J, Mansour M, Ali AM. Single incision
vs. conventional multiport laparoscopic cholecystectomy: a
had lesser operative time for SILC. But as the learning comparison of two approaches. Int J Surg 2012;10(7):368-372.
curve of the operating surgeons increases, this will 4. Deveci U, Barbaros U, Kapakli MS, Manukyan MN, Şimşek S,
improve in coming days. Postoperative and intraoperative Kebudi A, Mercan S. The comparison of single incision
complications were similar in both the groups. laparoscopic cholecystectomy and three port laparoscopic
Single-incision laparoscopic cholecystectomy is a good cholecystectomy: prospective randomized study. J Korean
Surg Soc 2013 Dec;85(6):275-282.
innovation that has a lot of scope in coming days once 5. Linden Y, Bosscha K, Prins HA, Lips DJ. Single-port laparo-
the learning curve of the operating surgeons improves. scopic cholecystectomy vs standard laparoscopic cholecys-
tectomy: a non-randomized, age matched single center trial.
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World Journal of Laparoscopic Surgery, May-August 2016;9(2):75-77 77