دورية أكاديمية
A case-control study of single-incision versus standard laparoscopic cholecystectomy.
| العنوان: | A case-control study of single-incision versus standard laparoscopic cholecystectomy. |
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| المؤلفون: | Chang SK; Hepato-Pancreato-Biliary Division, Department of Surgery, National University Hospital Singapore, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore. cfscky@nus.edu.sg, Tay CW, Bicol RA, Lee YY, Madhavan K |
| المصدر: | World journal of surgery [World J Surg] 2011 Feb; Vol. 35 (2), pp. 289-93. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2024- : [Hoboken, NJ] : Wiley Original Publication: New York, Springer International. |
| مواضيع طبية MeSH: | Cholecystectomy, Laparoscopic*, Cholecystectomy/*methods, Adult ; Aged ; Case-Control Studies ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Young Adult |
| مستخلص: | Background: Single-incision laparoscopic cholecystectomy (SILC) has been increasingly performed recently. Although it seems plausible that SILC will be associated with less pain compared to standard 4-port laparoscopic cholecystectomy (LC), there is currently no conclusive comparative study on the postoperative pain issues of SILC against LC. Methods: In this retrospective, case-control study, 30 patients who had SILC over a 6-month period were compared with a matched (sex, age group, race) group of 30 patients who underwent LC. Verbal pain score (VPS) on postoperative days (POD) 1, 2, 3, and 5; pain sites; analgesic requirement; and number of days (NoD) required to return to normal activities were compared. Results: There were 4 (13%) acute cholecystitis cases in each group. Average VPS on POD 1, 2, 3, and 5 of SILC and (LC) cholecystectomy patients were 4.53 (5.14) (P=0.09), 3.43 (3.83) (P=0.36), 2.07 (2.52) (P=0.25), and 1.13 (1.24) (P=0.69), respectively. In the SILC group, 26 patients (87%) had umbilical pain, whereas in the LC group, 25 patients (83%) had similar symptoms. Epigastric pain was experienced by 5 patients in the two groups, and RHC pain was experienced by 1 patient in the SILC group (3%) and 2 patients in the LC group (7%). The SILC and the LC patients required 4.00 and 4.90 days (P=0.09) of paracetamol, respectively, to control pain. The NoD required before return to normal activity in the SILC and LC groups was 5.97 days and 7.79 days (P=0.008), respectively. Conclusions: There was no statistically significant difference in postoperative pain, pain site and analgesia requirement; however, patients who underwent SILC returned to their normal activity 1.8 days earlier than the LC patients. Larger RCTs are needed to compare postoperative outcomes between SILC and LC. |
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| تواريخ الأحداث: | Date Created: 20101109 Date Completed: 20110503 Latest Revision: 20220410 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1007/s00268-010-0842-4 |
| PMID: | 21057790 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-2323 |
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| DOI: | 10.1007/s00268-010-0842-4 |