Single Port Access (SPA) Cholecystectomy Versus Standard Laparoscopic Cholecystectomy
Single Port Access (SPA) Cholecystectomy Versus Standard Laparoscopic Cholecystectomy
Background:

 Single port access surgery is a rapidly progressing surgical approach which allows
 performance of standard laparoscopic surgery through a single transparietal port instead of
 multiple port accesses.

 Objective:

 Demonstrate the validity of Single port access (SPA) cholecystectomy compared to multiple
 ports laparoscopic cholecystectomy.

 Hypothesis:

 SPA cholecystectomy is associated with decreased parietal and body image trauma compare to
 multiple ports laparoscopic cholecystectomy. SPA cholecystectomy should be associated with
 better cosmetic results, may improve postoperative recovery due to lower parietal pain. SPA
 cholecystectomy may also be associated with decreased rate of parietal complications as lower
 numbers of transparietal port are placed.

 Methods:

 All patients offered cholecystectomy, either SPA or multiport cholecystectomy, included in
 the study will have recognized biliary pathology for which formal indication cholecystectomy
 are recognized internationally.

 Surgical technique, either for SPA cholecystectomy or for multiple ports cholecystectomy,
 will be the same except, that one surgical technique is achieved through a single
 transparietal port and the other through multiple ports.

 Randomization will be performed before surgeries after patients have given their informed
 consent to the study.

 No specific test or cost will be necessitated by the study. Patients will be informed orally
 and will receive a short study summary, allowing them to give an informed consent.

 Endpoints:

 -  Morbidity

 -  Body image and Cosmetic results

 -  Post-operative pain (opioid sparing effect)

 -  Operative time

 -  Hospital stay
Inclusion Criteria:

 -  Age more than 18 years

 Exclusion Criteria:

 -  Contraindication to laparoscopy

 -  Liver disease

 -  Cognitive trouble