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Single Incision Laparoscopic Cholecystectomy using Conventional Instruments: A Single Institute Experience

DOI : https://doi.org/10.36349/easms.2021.v04i03.001
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Abstract: Introduction: Laparoscopic Cholecystectomy is the gold standard procedure for symptomatic cholelithiasis for years. Laparoscopic cholecystectomy procedure is refined over years to increase its efficacy, decrease complication rates and increase cosmoses .Single incision laparoscopic cholecystectomy being one of them. SILC has some documented advantages in comparison to four ports LC. With use of electrocautery as cutting and dissecting instrument SILC is becoming more popular now days and emerging as a promising surgical technique in treatment of symptomatic cholelithiasis. Methods: Patients of symptomatic cholelithiasis were enrolled in the study and 35 patients underwent electrocautery assisted single incision laparoscopic cholecystectomy. Results were documented in form of duration of surgery, quantity of CO2 used, intra operative stone spillage, intra operative blood loss, post-operative pain at 6 hour and 24 hour after the surgery, duration of hospital stay, any postoperative complications. Result: Operative time, intra operative blood loss, amount of CO2 used, post-operative pain score at 24 hour, intraoperatively stone spillage, all parameters were found to be statistically significant except for post-operative pain score at 6 hours, post-operative complications and conversion into 4 port/2 port /open cholecystectomy which were not statically significant. Conclusion: SILC is emerging as a promising technique for symptomatic cholelithiasis with use of conventional instruments. There is no increase in the cost of procedure and there is increase benefit of cosmoses. Hence making it a suitable and promising technique for symptomatic cholelithiasis.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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