title: Comparing of the results between single port and three ports in laparoscopic cholecystectomy.
abstract: OBJECTIVE
  The aim of this prospective trial was to observe the results of the two types of techniques.
  
  
  METHODS
  Single port laparoscopic cholecystectomy (SPLC) (56 cases) indication was polyp disease and mild cholecystitis with gall bladder stone (no right upper quadrant tenderness in physical examination, no gall bladder wall thickening in image study). Three ports laparoscopic cholecystectomy (TPLC) (46 cases) was applied to previous laparoscopic surgery indication. There were slight differences in indication as there are still limitations in applying single port laparoscopic cholecystectomy in all patients.
  
  
  RESULTS
  The two groups were similar with respect to demographic characteristics. There were no significant differences in operation time, bile leakage during operation, postoperative hospital stay, pain score. Additional port(s) use in single port laparoscopic cholecystectomy were 13 cases, the reasons were difficult dissection of Calot's triangle (7 cases), incomplete ligation by Hem-o-lok clip (3 cases), cystic artery bleeding (3 cases), difficult visual due to obesity (1 case).
  
  
  CONCLUSIONS
  Single port laparoscopic cholecystectomy is still in its initial stages. Although many controversies remain regarding stability and possibility, it is believed that development and exchange of new instruments and techniques will form an important part of future minimal invasive surgery.
authors.affiliation: Department of Surgery, Dong-A University Medical Center, Busan, South Korea.
authors.forename: Hak Youn
authors.initials: HY
authors.lastname: Lee
authors.forename: Young Hoon
authors.initials: YH
authors.lastname: Roh
authors.forename: Ki Hwan
authors.initials: KH
authors.lastname: Kim
authors.forename: Soon Hwa
authors.initials: SH
authors.lastname: Yoon
authors.forename: Hong Jo
authors.initials: HJ
authors.lastname: Choi
authors.forename: Young Hoon
authors.initials: YH
authors.lastname: Kim
authors.forename: Ghap Joong
authors.initials: GJ
authors.lastname: Jung
authors.forename: Mee Sook
authors.initials: MS
authors.lastname: Roh
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002764:Cholecystitis / Q000601:surgery; D005260:Female; D005705:Gallbladder Diseases / Q000473:pathology / Q000601:surgery*; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D056910:Republic of Korea; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult