European Journal of Molecular & Clinical Medicine

Abstract

Background: Laparoscopic cholecystectomy (LC) has replaced open cholecystectomy as the standard procedure for gallbladder removal whenever possible. The present study was conducted to compare three- port versus standard four port in patients undergoing laparoscopic cholecystectomy.
Materials & Methods: 70 patients of cholelithiasis of both genders were divided into 2 groups of 35 each. Group I patients were subjected to the three- port technique and group II patients to conventional four port technique. Parameters such as intra- operative findings, pain score etc. was compared.
Results: The mean VAS was 2.13 minutes in group I and 4.35 minutes in group II. The mean mean operative time was 50.6 in group I and 61.8 in group II. The difference was significant (P< 0.05). Intra- operative complications were perforation seen in 5 patients in group I and 3 in group II, stone spillage 3 in group I and 3 in group II, bleeding from liver 4 in group I and 3 in group II, cystic artery bleeding 2 in group I and 1 in group II. Post- operative complications were fever seen 4 patients in group I and 7 in group II, vomiting 5 in group I and 6 in group II, Basal pneumonitis 3 in group I and 5 in group II. The difference was significant (P< 0.05).
Conclusion: Three port cholecystectomy is a safe and feasible option with fewer surgical scars and less post operative pain in selected patients.