[Single-port cholecystectomy - pros and cons].

AIM: to study efficacy and safety of current laparoscopic techniques of cholecystectomy.

MATERIAL AND

METHODS

3 groups of patients were defined. Single laparoscopic access with/without trocar support was used in group 1 (SILS+, n=10) and 2 (SILS, n=16) respectively. Conventional four-port laparoscopic cholecystectomy was applied in comparison group.

RESULTS

SILS+ and SILS techniques were associated with less pain syndrome within first 12 hours after surgery compared with four-port cholecyst-ectomy. Better cosmetic result is also achieved in case of single-port technique. Both methods are comparable in their safety.

CONCLUSION

SILS-techniques are current alternatives to four-port laparoscopic cholecystectomy due to better cosmetic result, mild postoperative pain syndrome and comparable safety.