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ORIGINAL ARTICLE
Year : 2013  |  Volume : 27  |  Issue : 3  |  Page : 208-211

A study of three-port versus four-port laparoscopic cholecystectomy


Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Mallikarjun Gunjiganvi
Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.127395

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Objectives: The objective of this study was to investigate the technical feasibility, safety and benefit of three-port laparoscopic cholecystectomy (LC) over the conventional standard four-port LC as routine setup. Materials and Methods: A total of 50 patients willing to participate in the study with valid consent were allocated into two groups by computer generated chit system. The first group, three-port LC group consisted of 25 cases and the second group, the standard four-port LC group consisted of 25 cases were analyzed for the following outcome measures namely conversion rates, operating time, intra-operative complications, post-operative pain score, analgesic requirement and hospital stay. Results: Demographic data was comparable in both groups. Conversion rate was nil in both groups. The mean operating time was comparable in both groups. Post-operative pain was significantly less in three-port group (P < 0.008) and analgesic requirement (P < 0.001) when compared with the four-port group. Hospital stay was significantly less in three-port group compared with the four-port group (P < 0.004) owing to post-operative pain score. There was no statistical difference in the complications rate in both groups; gallbladder perforation (P = 0.691), bile leakage (P = 1.00) and bleeding from liver bed (P = 0.691). Conclusion: three-port LC is technically safe and feasible with less post-operative pain score, less analgesic requirement, less hospital stay with comparable operating time and complications when compared to four-port LC. Three-port is also associated with less scars and cosmetic superiority.


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