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Bachground: Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. Laparoscopic cholecystectomy (LC) has been the gold standard for removal of the gallbladder since the early 1990s. Single-incision laparoscopic surgery is becoming a more widely accepted surgical approach. However, the feasibility and safety of single-incision laparoscopic cholecystectomy (SILC) are yet to be established. The present study compared outcomes following the use of SILC or conventional laparoscopic cholecystectomy (CLC) on patients with gallbladder disease. Aim: To compare the perioperative results of single port laparoscopic cholecystectomy with the standard 4-port technique. Subjects and methods: The study involved 72 symptomatic gallbladder disease patients underwent laparoscopic cholecystectomy in Zagazig University hospital.36 patients underwent SILC, and 36 patients underwent CLC. Clinical and surgical outcomes were compared. Results: The SILC and CLC groups were similar in terms of age, gender ratio, body mass index, and diagnoses. The two groups were also found to be similar in terms of postoperative clinical course and complications. The SILC group had a longer operation time, less postoperative pain, and a shorter hospital stay with better aesthetic results than the CLC group. Conclusion: SILC was as safe and feasible as CLC. The operating time was longer otherwise it has almost similar clinical outcomes to those of CLC.

SURGICAL OUTCOME OF SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY IN COMPARISON WITH THE 4-PORT TECHNIQUE IN ZAGAZIG UNIVERSITY HOSPITAL