ObjectiveTo compare the effect differences between X-Cone single-port suspended laparoscopic cholecystectomy and traditional three-port laparoscopic cholecystectomy, meanwhile, to analyze the feasibilities and advantages of X-Cone single-port suspended laparoscopic cholecystectomy. MethodsA total of 170 patients with gallbladder polyps or gallstone were selected and randomly divided into observation group or control group, with 85 cases in each group. The X-Cone single-port laparoscopic cholecystectomy using suspension suture was employed to the observation group, while traditional three-port laparoscopic cholecystectomy was employed to the control group. The indicators of operation duration, specimen removal time, intraoperative blood loss, complications and postoperative recovery time of gastrointestinal function were compared between the two groups. ResultsThere was no statistically significant difference in intraoperative blood loss between the two groups (P＞0.05). The operation duration was longer and the time of specimen extraction was shorter in the observation group in comparison with the control group; the postoperative pain visual analogue scale (VAS) score and the recovery time of gastrointestinal function was lower or shorter in the observation group than in the control group, and the cosmetic incision satisfaction of the observation group was higher than that of the control group (all P＜0.05). The operation was successfully completed in both groups. No bile duct or gastrointestinal tract injury was observed during the operation. No serious complications, such as bile leakage, abdominal hemorrhage and gastrointestinal injury occurred during the follow-up periods of 0.5 to 2 years. ConclusionsAdding suspended suture technique for gallbladder bottom to single-port laparoscopic cholecystectomy can increase the exposure of operation area, and reduce the difficulty and risk of operation.

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