A Comparative Study of Single Clip Laparoscopic Cholecystectomy (SCLC) and Conventional Laparoscopic Cholecystectomy (CLC)

Abstract

Background: Theoretical benefits for use of one clip laparoscopic cholecystectomy are Less operative time, Less bleeding, Early post operative recovery, Cost factor , Less spillage of stones, Less chances of converting into open cholecystectomy , Less pain post operatively and Less amount of CO2 used. Thus, a study was undertaken to compare the advantages of Single clip laparoscopic cholecystectomy (SCLC) over conventional laparoscopic cholecystectomy (CLC). Material and Methods: This prospective randomized study was conducted in the Department of Surgery IGMC, Shimla over a period of 1 year starting from 1st july 2019 to 30th june 2020. In this study 100 consecutive patients of symptomatic cholelithiasis confirmed by USG reporting were participated and randomized into 2 groups of 50 each. Group 1 patients underwent CLC and Group 2 patients underwent SCLC. Outcomes were measured in terms of operative time, intra operative stone spillage, intra operative blood loss, amount of CO2 used , post operative pain , conversion into open cholecystectomy and post operative complications. Results: Out of 100 patients 15 were males and 85 were females. Among them, 5 males and 45 females underwent CLC using electrocautery while 10 males and 40 females underwent SCLC. Mean age of males were 47.60 ± 3.36 and females were 45.20 ± 15.82 in CLC group and mean age of males were 48.50 ± 14.49 and females were 46.73 ± 16.16 in SCLC group . Present study showed that there was significant less Operative Time, Less Mean CO2 used, less Approx. Blood Loss, less Average pain score at 6 and 24 hours, less Average Length of hospital stay, less Intra Op. Stone spillage, less Use of Drain and Post op. Complications in SCLC as compared to CLC but there was no significant difference in Conversion to Open Cholecystectomy in both groups. Conclusion: Study showed clear cut benefits of SCLC over CLC in terms of operative time , intra operative stone spillage , intra operative blood loss , amount of CO2 used , post operative pain and post operative complications