Outcome of Single Incision Laparoscopic Cholecystectomy (SILC) versus conventional four port Laparoscopic Cholecystectomy for Cholelithiasis - A Randomized control trial

Aim: To compare the outcome of SIL (single incision laparoscopic) cholecystectomy versus conventional four-port laparoscopic cholecystectomy. Methods: Two hundred patients are included in this study fulfilling the inclusion and exclusion criteria and arerandomly divided into two equal groups (100 in each). Results: Both the Groups were comparable and there is statistically significant difference among them in terms of Age, Gender and Co-morbids. From Group A 85 patients were discharged from hospital on the same day of surgery while only 31 patients from Group B went home on same day of surgery, the difference between two groups is statistically significant(p value 0.001). The mean pain score in patients of Group A was 2.87±1.30 while in patients of Group B was 5.16±2.31, which is statistically highly significant (p value 0.001). Conclusion: Single incision laparoscopic (SIL) cholecystectomy has a better cosmetic profile as compared to conventional (four port) cholecystectomy. Patients undergoing SIL cholecystectomy have short hospital stay and less pain at the wound site.