Skip to main content

ORIGINAL RESEARCH article

Front. Surg.
Sec. Visceral Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1448684

Single‑incision laparoscopic cholecystectomy reduced postoperative pain than three-incision laparoscopic cholecystectomy in patients with large gallstone, a retrospective study

Provisionally accepted
Zhiheng Zhang Zhiheng Zhang 1,2jiawei xu jiawei xu 2*decai yu decai yu 2*Nacheng Lin Nacheng Lin 3*Jin Peng Jin Peng 2*
  • 1 Nanjing Drum Tower Hospital, Nanjing, China
  • 2 Other, Nanjing, China
  • 3 Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Aim: To compare the short-term outcomes between SILC and TILC depending on gallstone size. Material and methods: Data from 114 patients with gallstones who underwent cholecystectomy hospitalized in Nanjing Drum Tower Hospital between June 2022 and October 2023 were collected. The gallstone diameter, the operation time, estimated blood loss, post-operative pain, complications post-operation, and length of hospital stay were all collected and examined. Results: Of the 114 patients included in this study, 61 underwent SILC, and 53 underwent TILC. The pain score 6h, 24h postoperation was higher in the TILC group compared with the SILC group. Patients were divided into large (diameter>2cm) and small groups (diameter<2cm), larger gallstones significantly increased operation duration in the SILC group. For the TILC group, large gallstones significantly increased blood loss during the operation.The blood loss and pain scores were higher in the TILC group compared with the SILC group for patients with large gallstones.In this study, SILC and TILC both had comparable postoperative outcomes, while SILC significantly reduced postoperative pain than TILC. Moreover, SILC might be a suitable option for patients with larger gallstones (diameter>2 cm) and helps reduce blood loss and postoperative pain.

    Keywords: Singleincision laparoscopic cholecystectomy, gallstone, gallstone size, Postoperative pain, Miniinvasive

    Received: 13 Jun 2024; Accepted: 19 Nov 2024.

    Copyright: © 2024 Zhang, xu, yu, Lin and Peng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    jiawei xu, Other, Nanjing, China
    decai yu, Other, Nanjing, China
    Nacheng Lin, Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing, 210008, Jiangsu Province, China
    Jin Peng, Other, Nanjing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.