naa a22 4500 510723659 CHVBK 20180411082927.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12262-012-0680-8 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0680-8 Single Port Versus Multiple Port Laparoscopic Cholecystectomy—A Comparative Study [Elektronische Daten] [A. Sharma, V. Soni, M. Baijal, R. Khullar, K. Najma, P. Chowbey] Single port laparoscopic cholecystectomy (SPLC) was introduced to minimize postoperative morbidity and improve cosmesis. We performed a comparative study to assess feasibility, safety and perceived benefits of SPLC. Two groups of patients (104 each) with comparable demographic characteristics were selected for SPLC and multiport laparoscopic cholecystectomy (MPLC) between May 2010 to March 2011. SPLC was performed using X cone® with 5mm extra long telescope and 3 ports for hand instruments. MPLC was performed with traditional 4 port technique. A large window was always created during dissection to obtain the critical view of safety. Data collection was prospective. The primary end points were post-operative pain and surgical complications. Secondary end points were patient assessed cosmesis and satisfaction scores and operating time. The mean VAS scores for pain in SPLC group were higher on day 0 (SPLC 3.37 versus MPLC 2.72, p = 0.03) and equivalent to MPLC group on day 1(SPLC 1.90 versus MPLC 1.79, p = 0.06). Number of patients requiring analgesia for breakthrough pain (SPLC 21.1% versus MPLC 26.9%, p = 0.31) was similar. Number and nature of surgical complications was similar (SPLC 17.3% versus MPLC 21.2%, p =0.59). Mean patient assessed cosmesis scores (SPLC 7.96 versus MPLC 7.16, p = 0.003) and mean patient satisfaction scores (SPLC 8.66 versus MPLC 8.16, p = 0.004) were higher in SPLC group indicating better cosmesis and greater patient satisfaction. SPLC took longer to perform (61min versus 26min, p = 0.00). Conversion was required in 5 patients in SPLC group. SPLC appears to be feasible and safe with cosmetic benefits in selected patients. However, challenges remain to improve operative ergonomics. SPLC needs to be proven efficacious with a high safety profile to be accepted as standard laparoscopic technique. Association of Surgeons of India, 2012 Single port laparoscopic cholecystectomy nationallicence Single incision laparoscopic surgery nationallicence X cone® nationallicence Patient assessed cosmesis nationallicence Patient satisfaction scores nationallicence Learning curve nationallicence Sharma A. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Soni V. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Baijal M. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Khullar R. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Najma K. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Chowbey P. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 115-122 0972-2068 75:2<115 2013 75 12262 https://doi.org/10.1007/s12262-012-0680-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0680-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sharma A. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 700 1- Soni V. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 700 1- Baijal M. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 700 1- Khullar R. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 700 1- Najma K. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 700 1- Chowbey P. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Healthcare Institute Ltd., 1-2, Press Enclave Road, 110017, Saket, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 115-122 0972-2068 75:2<115 2013 75 12262 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer