Impact of single-port cholecystectomy on postoperative pain
- 27 April 2011
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 98 (7), 991-995
- https://doi.org/10.1002/bjs.7486
Abstract
Background This study compared postoperative pain following four-port laparoscopic cholecystectomy (LC) and single-port cholecystectomy (SPC). Method This prospective, quasi-randomized, single-centre trial focusing on postoperative pain included 49 patients undergoing elective surgery with either a conventional LC, or SPC using a surgical glove port. Postoperative pain was evaluated using a visual analogue scale (VAS) and postoperative analgesic use as primary outcome measures. Total duration of operation, length of hospital stay, blood test results on the day after surgery and total port cost were secondary outcome measures. Results Twenty-five LCs and 24 SPCs were undertaken. The VAS score on day 1 after surgery was significantly less in the SPC group than in the LC group: median (range) 24 (12–38) versus 45 (33–57) mm (P = 0·002). Significantly fewer patients in the SPC group required analgesia (9 of 24 versus 19 of 25 in the LC group; P = 0·007). There were no significant differences in total duration of operation, length of hospital stay, and blood test results on the day after surgery. Conclusion Single-port surgery using a surgical glove port reduces postoperative pain compared with conventional LC. Registration number: UMIN000002539 (http://www.umin.ac.jp/ctr/index.htm).This publication has 14 references indexed in Scilit:
- Effectiveness of a Surgical Glove Port for Single Port SurgeryWorld Journal of Surgery, 2010
- Transgastric hybrid cholecystectomyBritish Journal of Surgery, 2009
- Three‐Port Versus Four‐Port Laparoscopic Cholecystectomy: Meta‐Analysis of Randomized Clinical TrialsWorld Journal of Surgery, 2009
- Challenges and lessons learned from NOTES cholecystectomy initial experience: a stepwise approach from the laboratory to clinical applicationJournal of Hepato-Biliary-Pancreatic Surgery, 2009
- Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human PatientArchives of Surgery, 2009
- A Simple Technical Option for Single-Port CholecystectomySurgical Innovation, 2008
- Surgery Without ScarsArchives of Surgery, 2007
- One-wound laparoscopic cholecystectomyBritish Journal of Surgery, 1997
- Smaller Ports Result in Shorter Convalescence After Laparoscopic VaricocelectomyJournal of Urology, 1995
- Single-port laparoscopy assisted appendectomy under local pneumoperitoneum conditionSurgical Endoscopy, 1994