Clinical efficacy of single hole laparoscopic cholecystectomy for the treatment of gallstones

Abstract

Abstract: Objective To evaluate the therapeutic effect of single-incision laparoscopic cholecystectomy (SILC) on benign gallbladder diseases. Methods The study sample consisted of 100 patients who underwent cholecystectomy at the People's Hospital of Tinghu District, Yancheng City, from June 1, 2023, to December 30, 2023. All patients were divided into an observation group and a control group using a random number table method, with 50 cases in each group.The observation group received SILC, while the control group underwent multi-port (three or four ports) laparoscopic cholecystectomy. The comparison between the two groups focused on operative duration, blood loss during surgery, hospital stay length, costs of hospitalization, post-surgery pain levels, appearance of surgical scars, occurrence of complications like wound infection, bleeding inside the abdomen, bile leaks, damage to the biliary system, and internal organ injuries, alongside overall patient satisfaction. Results The operative times for the observation and control groups were (40.73±12.34) and (25.81±10.37) minutes, respectively. For the observation group, intraoperative blood loss was (9.74±2.87) mL, hospital stay was (5.89±1.34) days, and costs were (13217±235.21) CNY. In contrast, the control group had (14.37±2.93) mL blood loss, (7.83±1.98) days in the hospital, and (11874±237.83) CNY in costs. The differences between the groups were statistically significant (t=9.674, P<0.05). Postoperative pain scores at various time points were lower in the observation group, and the CVAS scores were higher compared to the control group. The overall satisfaction rates for the observation and control groups were 94% and 54%, respectively, with significant differences between the groups (P<0.05). Conclusion SILC significantly reduced the incidence of postoperative complications and incisional pain, and offers better cosmetic results for surgical scars.

Key words: Benign gallbladder disease, Single-hole laparoscopic cholecystectomy, Routine laparoscopic cholecystectomy

YU Hai-yang, CHEN Zhi-qun, SHAN Kai, WEI Wei, ZHOU Wei, CHEN Shu-rong. Clinical efficacy of single hole laparoscopic cholecystectomy for the treatment of gallstones[J]. Chinese Hepatolgy, 2025, 30(5): 727-730.

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