Single‑incision laparoscopic cholecystectomy is better in reducing postoperative pain than three-incision laparoscopic cholecystectomy in patients with large gallstone

Abstract

Abstract Aim Depending on gallstone size, this study aimed to evaluate the efficiency and safety of SILC and TILC. Material and methods Patients with gallstones underwent cholecystectomy by a single surgeon in this single-centre retrospective study between June 2022 and October 2023. Results Of the 114 patients included in this study, 61 underwent SILC, and 53 underwent TILC. The pain score 6h, 24h post-operation was higher in the TILC group compared with the SILC group. Gallstone was divided into large (diameter > 2cm) and small group (diameter < 2cm), larger gallstones significantly increase operation duration in patients who receive SILC. For the TILC group, large gallstones significantly increased blood loss during operation, while operative duration, pain score, and hospitalization stay did not differ between the two groups. The blood volume and pain score were higher in the TILC group compared with the SILC group for patients with large gallstones. Conclusion In this study, SILC and TILC both had similar postoperative outcomes and reduced postoperative pain. Moreover, SILC might be a better option for patients with larger gallstones (diameter > 2 cm) and helps reduce blood loss and postoperative pain.