Single Port Laparoscopic Cholecystectomy Versus Four Port Laparoscopic Cholecystectomy: Impact on Postoperative Pain
Single Port Laparoscopic Cholecystectomy Versus Four Port Laparoscopic Cholecystectomy: Impact on Postoperative Pain
This is a single-institution, prospective, randomized controlled trial. Subjects determined
 to need a cholecystectomy will be consented for surgery and study participation prior to
 enrollment in this study. Patients will then be randomized to receive either a single port
 laparoscopic cholecystectomy or a four port laparoscopic cholecystectomy.
The main advantages of laparoscopic surgery are reduced postoperative pain, shorter hospital
 stay and the cosmetic result. Although reduced, however, pain is still substantial and
 constitutes the main clinical problem after laparoscopic cholecystectomy, in particular for
 future daily planned procedures.

 Recently, a new technique of laparoscopic cholecystectomy has been developed, in which all
 instruments are inserted through the same port placed in the umbilical incision. This
 technique for cholecystectomy has been proved to be feasible and safe by several studies.

 The purpose of the study is to compare postoperative pain, operating time, cosmetic result,
 between one port and standard laparoscopic cholecystectomy.
Inclusion Criteria:

 -  Biliary cholic

 -  Biliary dyskinesia

 -  Gallbladder polyps

 -  Other diagnosis at the discretion of the surgeon

 Exclusion Criteria:

 -  History of Acute cholecystitis

 -  Jaundice

 -  Choledocolithiasis

 -  History of Pancreatitis

 -  Severe comorbidity

 -  BMI > 30