TITLE:
Comparison of Double-Incision Laparoscopic Cholecystectomy and Needlescopic Cholecystectomy
AUTHORS:
Kenju Ko, Shigetoshi Yamada, Ken Hayashi, Akira Tsunoda, Hiroshi Kusanagi, Nobuyasu Kano
KEYWORDS:
Double Incision Laparoscopic Cholecystectomy; Single Incision Laparoscopic Cholecystectomy; Thin Forceps; Needlescopic Cholecystectomy
JOURNAL NAME:
Surgical Science,
Vol.4 No.12,
December
5,
2013
ABSTRACT: Purpose: Recently, reduced port surgery is becoming popular for laparoscopic
surgery. “Reduced” means reducing the size or number of ports, but it is
controversial as to which procedure is better. We evaluated double-incision
laparoscopic cholecystectomy (DILC) and needlescopic cholecystectomy (NC) as
reducing number or size of ports, respectively. Method: Patient records for 51 patients
undergoing DILC and 22 patients undergoing NC were retrospectively evaluated. The
patient and operation related variables of DILC and NC were compared by age,
gender, body mass index (BMI), operative time, blood loss, length of
postoperative hospital stay, numerical rating scale (NRS) pain score, and
frequency to administer NSAIDs postoperatively for three days. Results: The operative
times of both groups were similar (DILC 106 ± 31 min, NC
103 ± 35 min). Blood loss did not show any difference and each of them was
small in amount (DILC 14 ± 29 ml, NC 22 ± 31 ml). Length
of postoperative hospital stay of DILC (3.2 ± 0.4 days)
was significantly shorter than that of NC (3.5 ± 0.7 days).
Regarding postoperative pain, frequency to administer NSAIDs and pain score for
three days postoperatively showed no significant difference. Conclusion: It is thought
that DILC and NC have the same operative
difficulty. As far as early
postoperative pain was concerned, both procedures did not have any difference.