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

IF 1.6 4区 医学 Q2 SURGERY
Frontiers in Surgery Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1448684
Zhiheng Zhang, Jiawei Xu, Decai Yu, Nacheng Lin, Jin Peng
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引用次数: 0

Abstract

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 6 h, 24 h post-operation was higher in the TILC group compared with the SILC group. Patients were divided into large (diameter > 2 cm) and small groups (diameter < 2 cm), 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.

Conclusion: 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.

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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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