This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Impact of single‐port cholecystectomy on postoperative pain. BJS 2011; 98: 991-995.
Published: 27th April 2011
Authors: M. Asakuma, M. Hayashi, K. Komeda, T. Shimizu, F. Hirokawa, Y. Miyamoto et al.
Background
This study compared postoperative pain following four‐port laparoscopic cholecystectomy (LC) and single‐port cholecystectomy (SPC).
Results
Twenty‐five LCs and 24 SPCs were undertaken. The VAS score on day 1 after surgery was significantly less in the SPC group than in the LC group: median (range) 24 (12–38) versus 45 (33–57) mm (P = 0·002). Significantly fewer patients in the SPC group required analgesia (9 of 24 versus 19 of 25 in the LC group; P = 0·007). There were no significant differences in total duration of operation, length of hospital stay, and blood test results on the day after surgery.
Conclusion
Single‐port surgery using a surgical glove port reduces postoperative pain compared with conventional LC. Registration number: UMIN000002539 (