Clinical Study

Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach

Table 2

Results.

Perioperative variablesSSMPPLECMLCP value

Intraoperative
 Camera assistant
  Fellow216168
  Registrar104158
 Mean operative time (min) 43.8 (range, 20–85)39.5 (range, 28–106)0.00370
 Mean blood loss (mL)9.4 (range, 5–55)8.7 (range, 5–40)<0.0001
 Bile duct injury00
 Major vessel injury00
 Rate of conversion
  To conventional laparoscopic cholecystectomy6 Not applicable
  To open cholecystectomy52
Postoperative
 Pain (mean visual analogue score)
  Day 03.21 ( range, 3–5)3.89 (range, 3–6)<0.0001
  Day 12.09 (range, 1–4)2.13 (range, 2–4)NS
  Day 700.04 (range, 0-1)0.00018
  Day 3000
 Mean postoperative analgesics used (days)1.7 (range, 0.5–4.8)3.3 (range, 1–5)<0.0001
 Ambulation (hr)4.6 (range, 4–8)4.8 (range, 4–12)<0.0001
 Mean time to solids after surgery (hr) 5.7 (range, 5–12)6.6 (range, 6–12)<0.0001
 Mean time to discharge after surgery (days)1.3 (range, 1–5)1.2 (range, 1–7)NS
 Mean time to normal activity (days)3.2 (range, 3–7)3.4 (range, 3–5)0.00444
 Mean time to work (days)9.6 (range, 7–18)10.5 (range, 7–15)<0.0001
 Umbilical sepsis 6 (1.9%)5 (1.5%)NS
 Umbilical seroma7 (2.2%)6 (1.8%)NS
 Trocar site hernia00
 Scar grade1.28 (range, 1–3)2.03 (range, 1–3)<0.0001