Comparing the Operative Duration and the Pain Scores in Patients Undergoing Single Port Laparoscopic Cholecystectomy (Splc) vs. Multiple Port Laparoscopic Cholecystectomy (Mplc)

Abstract

BACKGROUNDComparing the operative duration and the pain scores in patients undergoing Single Port Laparoscopic Cholecystectomy (SPLC) vs. multiple port laparoscopic cholecystectomy (MPLC). MATERIALS AND METHODSIn this comparative randomised study, 100 patients diagnosed as having gall stones, who fit into the inclusion criteria; 50 patients were included in the single port laparoscopic cholecystectomy (SPLC) Group and 50 Multiple Port Laparoscopic Cholecystectomy (MPLC) Group. RESULTSOut of 50 patients operated by SPLC, 13 were males and 37 were females with mean age of 38.62±12.56 years. In the MPLC group distribution was 9 males and 41 females in a total of 50 patients and the mean age was 37.86±11.31 years. Mean operative time in SPLC group was significantly higher than the MPLC group. Mean VAS pain score at 12, 24, 36 and 48 hrs. was significantly lower in SPLC group as compared to MPLC group; which was significant at all times. Mean NRS pain score at 12, 24, 36 and 48 hrs. was lower in SPLC group as compared to MPLC group; which was significant at 24 and 48 hrs., but not significant at 12 and 36 hrs. Mean VDS pain score at 12, 24, 36 and 48 hrs. was significantly lower in SPLC group as compared to MPLC group, which was significant at all times. Mean FPS pain score at 12, 24, 36 and 48 hrs. was lower in SPLC group as compared to MPLC group, which was significant at 12, 24 and 36 hrs. but not significant at 48 hrs. CONCLUSIONIn early post-operative hours, VAS and VDS scores were lower in SPLC than MPLC which was significant all the time, but NRS and FPS scores were not significant in all the early hours in spite of higher operative time in SPLC.