Comparative study of pain in women submitted to conventional laparoscopic cholecystectomy
 
 versus
 
 single-port laparoscopic cholecystectomy

To evaluate postoperative pain in patients submitted to conventional laparoscopic cholecystectomy with four ports versus single-port laparoscopic cholecystectomy with only one port.

Methods:

Twenty-one patients were included in the conventional laparoscopic cholecystectomy group and 19 other patients in the single-port laparoscopic cholecystectomy group. A VAS was used for the assessment of postoperative pain at three time points. Differences were considered statistically significant when p<0.05.

Results:

Intergroup analysis showed no significant difference in VAS scores between the conventional laparoscopic cholecystectomy and single-port laparoscopic cholecystectomy groups at any of the time points studied.

Conclusion:

This study found no significant difference in postoperative pain between the two groups.

Key words:
Cholelithiasis; Cholecystectomy; Laparoscopic; Pain

Authorship

Júverson Alves Terra Júnior

PhD, Full Professor, Department of Surgery, Federal University of Triângulo Mineiro (UFTM), Uberaba-MG, Brazil. Scientific content of the study, technical procedures, critical revision.Federal University of Triângulo MineiroBrazilUberaba, MG, BrazilPhD, Full Professor, Department of Surgery, Federal University of Triângulo Mineiro (UFTM), Uberaba-MG, Brazil. Scientific content of the study, technical procedures, critical revision.

Guilherme Azevedo Terra

MD, School of Medicine, UFTM, Uberaba-MG, Brazil. Scientific content of the study, manuscript writing, critical revision.UFTMBrazilUberaba, MG, BrazilMD, School of Medicine, UFTM, Uberaba-MG, Brazil. Scientific content of the study, manuscript writing, critical revision.

Marisa de Carvalho Borges

PhD, Physiotherapist, Department of Surgery, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revision.UFTMBrazilUberaba, MG, BrazilPhD, Physiotherapist, Department of Surgery, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revision.

Tharsus Dias Takeuti

MS, Biomedical, Department of Surgery, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revision.UFTMBrazilUberaba, MG, BrazilMS, Biomedical, Department of Surgery, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revision.

Luciana Garcia Pereira Castro

Simone Souza Lima

Administrative Analyst, Sabin Laboratory, Brasilia-DF, Brazil. Intellectual and scientific content of the study, critical revision.Sabin LaboratoryBrazilBrasilia, DF, BrazilAdministrative Analyst, Sabin Laboratory, Brasilia-DF, Brazil. Intellectual and scientific content of the study, critical revision.

Luciane Fernanda Rodrigues Martinho Fernandes

PhD, Physiotherapist, Department of Physiotherapy, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revisionUFTMBrazilUberaba, MG, BrazilPhD, Physiotherapist, Department of Physiotherapy, UFTM, Uberaba-MG, Brazil. Intellectual and scientific content of the study, manuscript writing, critical revision

Alex Augusto da Silva

Eduardo Crema

Correspondence: Eduardo Crema Rua Marcos Lombardi, 305 38050-170 Uberaba - MG Brasil Tel.: (55 34)3318-5228 cremauftm@mednet.com.br

Conflict of interest:

none

SCIMAGO INSTITUTIONS RANKINGS

Figures | Tables

Figures (1)
Tables (3)

Thumbnail

Figure 1
Boxplot of Visual Analogue Scale (VAS) scores at the three different times of pain assessment in the conventional laparoscopic cholecystectomy (CLC) and single-port laparoscopic cholecystectomy (SPLC) groups.

Thumbnail

Table 1
Mean ± standard deviation of the anthropometric variables and age of women submitted to CLC and SPLC.

Thumbnail

Table 2
Mean, standard deviation and median Visual Analogue Scale (VAS) scores at each time point of pain assessment in the two groups.

Thumbnail

Table 3
Intragroup comparison of Visual Analogue Scale (VAS) scores between the different time points of pain assessment in each group.

Figure 1 Boxplot of Visual Analogue Scale (VAS) scores at the three different times of pain assessment in the conventional laparoscopic cholecystectomy (CLC) and single-port laparoscopic cholecystectomy (SPLC) groups.

Table 1 Mean ± standard deviation of the anthropometric variables and age of women submitted to CLC and SPLC.

Variable	CLC	SPLC	p value
Age	38.38 ± 11.72	34.21 ± 10.51	NS
Weight (kg)	69.40 ± 16.76	64.81 ± 9.63	NS
Height (m)	1.57 ± 0.07	1.62 ± 0.04	0.0220
BMI (kg/m²)	27.90 ± 6.52	24.52 ± 3.67	NS

CLC: conventional laparoscopic cholecystectomy; SPLC: single-port laparoscopic cholecystectomy; NS: nonsignificant; BMI: body mass index. Sex was compared by Fisher’s exact test and numerical variables, expressed as mean ± standard deviation, were compared by the Student t-test.

Table 2 Mean, standard deviation and median Visual Analogue Scale (VAS) scores at each time point of pain assessment in the two groups.

VAS	Group	Mean (±SD)	Median	p value
T1	CLC	3.63 (±2.47)	4.15	0.807
T1	SPLC	3.51 (±1.7)	3.15	0.807
T2	CLC	3.73 (±2.51)	3.45	0.432
T2	SPLC	3.14 (±2.66)	2.85	0.432
T3	CLC	2.33 (±1.94)	2.20	0.935
T3		2.3 (±1.84)	2.00	0.935

CLC: conventional laparoscopic cholecystectomy; SPLC: single-port laparoscopic cholecystectomy. T1: first immediate postoperative assessment; T2: second immediate postoperative assessment; T3: first postoperative day. Intragroup analysis: p value obtained by the nonparametric Mann-Whitney U test for independent samples (CLC x SPLC) at the three time points.

Table 3 Intragroup comparison of Visual Analogue Scale (VAS) scores between the different time points of pain assessment in each group.

	CLC	SPLC
T1xT2	p=0.747	p=0.546
T1xT3	p=0.007*	p=0.008*
T2xT3	p=0.002*	p=0.227

CLC: conventional laparoscopic cholecystectomy. SPLC: single-port laparoscopic cholecystectomy. T1: first immediate postoperative assessment; T2: second immediate postoperative assessment; T3: first postoperative day. *p≤0.05 significant by the nonparametric Wilcoxon t-test for paired samples.

How to cite

copy

Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia https://actacirbras.com.br/ - São Paulo - SP - Brazil
E-mail: actacirbras@gmail.com

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Inglês

Versões e tradução automática

Versão original do texto

English

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org