Comparative Study between Single Incision Transumbilical and Standard 3 - port Laparoscopic Cholecystectomy

Abstract

This study aims to compare the clinical outcomes and cost-effectiveness of the laparoscopic cholecystectomy (LC) between a Single Incision Transumbilical Laparoscopic Cholecystectomy (SILC) and Standard 3 - port Laparoscopic Cholecystectomy (SLC). Method: A Randomized Controlled Trial was conducted in gallstone patients treated at Mahasarakham hospital during the August 1, 2018 – May 31, 2019. A total of 62 patients were randomized into 2 groups. A control group treated by SLC technique, an experiment group treated by SILC technique and follow up 2 weeks after treatment. Data were collected using the evaluate clinical outcome and costs in societal view. The Index of Item – Objective Congruence (IOC) was 0.95. The findings in this study revealed the followings: 1) There were no statistically significant difference between SILC and SLC in the aspects of operative time (p=0.149), bleeding (p= 1.00), and post-operative pain (p=.497) But there were significant differences in the cosmetic scale (p< 0.001), length of hospital stay (p<0.001), and time return to work (p<0.001) at the 0.05 level of significance. 2) Cost-effectiveness ratio (CER) of SILC has lower than SLC. Conclusion: the SILC has worth more than SLC.