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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 1, February 2014 pp 53-57
A Comparative Analysis: SILS over Conventional Laproscopic Procedures
Assistant Professor, Department of General Surgery, Pondicherry Institute of medical Sciences, Pondicherry, INDIA.
Academic Editor : Dr. Aher K.R.
Objectives: To report our experience with single-incision laparoscopic surgery (SILS) and to perform a comparison with conventional laparoscopic surgeries. Study Design: Data were prospectively collected for all patients undergoing SILS(n = 23) and compared with data of those undergoing conventional laparoscopic procedures (n = 42) at Lifeline Hospital, Perungudi, Chennai. This included patient demographic data and intraoperative and postoperative outcomes. Interventions: conventional laparoscopic surgeries and SILS. Main Outcome measures: Operative time, conversion to open operation, and length of hospital stay. Results: Operative time was longer with SILS compared with conventional laparoscopic surgeries (P < .001). A correlation was seen between reducing SILS operative time and increasing experience (Pearson’s correlation coefficient, −0.27). Two patients in the SILS group required the addition of extra laparoscopic ports. No patients in the SILS group required conversion to open surgery compared with 4 patients in the standard laparoscopic group. Patients stayed an average of 0.67 days following SILS and 1.62 days following conventional laparoscopic procedures. Conclusions: Single-incision laparoscopic surgery may be equal to conventional laparoscopic surgeries in terms of safety and efficacy. Further randomized studies are required to investigate any significant advantages of this new and attractive technique.