Cost Benefit Alternative to Single Access Laparoscopic Cholecystectomy.
Br J Med Med Res
;
2016; 15(11): 1-7
Article
in English
| IMSEAR
| ID: sea-183187
ABSTRACT
Introduction:
Single-incision laparoscopic surgery is an attractive approach for cholecystectomy. However, its widespread application has many limitations. A significant obstacle of application in developing countries is the expensive and non affordable specialized single port systems and roticulating instruments.Objective:
To assess the feasibility and effectiveness of the glove port technique of trans-umbilical single incision laparoscopic cholecystectomy (SILC) performed by a single surgeon using the conventional laparoscopic instruments.Methodology:
70 patients with symptomatic gall bladder stone disease were selected and underwent glove port laparoscopic cholecystectomy (GPLC). Patient’s demographic data, operative data, early postoperative complications, patient satisfaction score and wound measurement 3 months later, were documented and statistically analyzed.Results:
The mean operative time was 47.75 min. The mean estimated blood loss was 14.5 ml. No conversion of the technique occurred. Overall intra operative complication rate was 5.7%, while post operative complication rate was 4.2%.Conclusion:
On technical basis; we consider GPLC in selected cases; a safe, feasible and convenient, and cost effective method of SILC.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Health economic evaluation
Language:
English
Journal:
Br J Med Med Res
Year:
2016
Type:
Article
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