Two-incisition laparoscopic cholecystectomy. Experimental study

Abstract

The standard treatment for gallbladder pathology is laparoscopic cholecystectomy, however, over time the conventional method has been modified, making it less and less invasive. Objective: The objective of this study is to demonstrate the feasibility and safety of two-incision laparoscopic cholecystectomy (TILC) compared to the classic technique (CLC) in terms of variables such as surgical time, postoperative pain, hospital stay, complications, and cosmetic outcome. Methods: A prospective sample of patients was taken and divided equally into two groups, those who underwent TILC and others by CLC. Both groups quantified the variables mentioned above and a statistical analysis was made of them, taking a p value < 0.05 as significant. Results: The result showed that there was statistical significance only when comparing postoperative pain measured 24 hours after the procedure and the aesthetic outcome objectively perceived by the patient himself. The rest of the variables did not show important differences between both techniques. Conclusion: laparoscopic cholecystectomy through two incisions is a safe and feasible procedure, comparable in operative time, complications, and hospital stay, but with improvement in pain and cosmetic result of the patient.