Are single-port endoscopic technologies a real alternative to «traditional» laparoscopic procedures?

Introduction. Laparoscopic cholecystectomy is the «gold standard» of the treatment for patients with benign gallbladder diseases. In recent years, there has been a trend towards a decrease in the number of incisions for surgical intervention to single-port technologies. Material and methods. In our study the results of single-port laparoscopic cholecystectomy at 300 patients were compared with standard laparoscopic cholecystectomy at 1150 patients. Results. The duration of the laparoscopic cholecystectomy was 40 (35-60) minutes, the duration of the SILS was 55 (45-65) minutes. The conversion of SILS for «traditional» 4-puncture laparoscopic intervention was noted in 2.3% of patients, for open cholecystectomy in 0.3%, after LCE conversion of laparoscopic access to laparotomy was performed in 0.7% patients. Morbidity after laparoscopic cholecystectomy was 0.8%. Morbidity after SILS was 1%. Mortality after laparoscopic cholecystectomy was 0.17% (as a result of massive pulmonary embolism). Mortality after SILS was not. Pain syndrome after laparoscopic cholecystectomy was 6 (4-7) points, after SILS - 4 (3-5) points (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }