Outpatients Single Incision Laparoscopic Cholecystectomy in Non- Inflammatory Gall Stones : An Experience in Kalasin Hospital

Abstract

Background and Objective : Single incision laparoscopic cholecystectomy (SILC) has been demonstrated that this procedure can perform as outpatient setting. However, the study data of this surgical procedure in Thailand is still lack. This study aim to determine the efficacy of SILC procedure including the outcome of treatment, postoperative complications and pain score, duration of hospitalization and patients’ satisfaction.

Methods :  This Interventional Study in thirty patients with non-inflammatory gall stones who underwent SILC during November 2013 to March 2014 in department of Surgery, Kalasin Hospital were recruited. Pre-operative evaluation one week before operation and standard surgical (SILC) protocols were used in all subjects. Vital signs ,duration of hospital stay and complications were recorded after operation. Visual analogue scale (VAS) was used to assess postoperative pain and patients’ satisfaction was evaluated using questionnaire during the follow up period.

Results : Thirty patients were recruited (12 men and 18 women). Mean age was 47 years old in both men and women. All patients were operated successfully, the mean duration of operation was 38.6 minutes. Most of the patients had VAS <2 cm. within 5 hours and went home within 12 hours after operation. The complications were found in two patients (6.6%); one patient developed hematoma at surgical wound and one patient had urinary retention; and resolved without long term complication. Most of patients satisfied with this procedure (85.6%)

Conclusion : Outpatient SILC is a simple and safe procedure for non-inflammatory gall stone. Postoperative complications of SILC was low and minor. Therefore, this procedure should be implemented for non-inflammatory gall stone treatment in general practice.