A COMPARATIVE STUDY OF THREE PORT VERSUS FOUR PORT LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 32
Abstract
Four port laparoscopic cholecystectomy has been a standard procedure for removal of gall bladder. Each additional port gives more morbidity to the patient. Research continues to devise procedures which are more patient friendly. Reducing the number of ports has been postulated to be superior in terms of requirement of analgesics, hospital stay, cosmesis and cost. AIMS AND OBJECTIVES: Comparison of three port and four port laparoscopic cholecystectomy in terms of Operating time, Safety of the procedure, Need for the additional ports, Postoperative pain, Hospital stay and Cosmesis. MATERIALS AND METHODS: 100 patients with symptomatic gall stone disease were managed by laparoscopic cholecystectomy. In 50 patients the procedure was performed using three ports and in another 50 patients traditional four ports were used. In patients with three port laparoscopic cholecystectomy 5mm port along anterior axillary line was omitted which is usually used for retracting the fundus of gall bladder. RESULTS AND DISCUSSION: There was no difference between the two groups with respect to success rate, operative time, and hospital stay. However we conclude that three-port laparoscopic cholecystectomy group is preferable as there is fewer requirements of analgesics, is less expensive and is cosmetically better than four port laparoscopic cholecystectomy.
Authors and Affiliations
Tarooq Ahmad Reshi, Mudasir Habib, Bilal Ahmad Wagay, Mubashir Shah, Muzefer Ahmad Ahanger, Shahnawaz Mansoor
Keywords
Related Articles
- EP ID EP229558
- DOI 10.18410/jebmh/2015/671
- Views 94
- Downloads 0
MANAGEMENT OF FRACTURE DISTAL TIBIA WITH LOCKING MEDIAL METAPHYSEAL PLATE
Distal 1/3rd of tibia being a region with precarious blood supply is known for delayed union or non-union when a fracture occurs in this part. Conservative treatment with POP cast after manipulation and reduction, Interl...
MANAGEMENT OF SMALL SIZE RENAL STONES
AIMS AND OBJECTIVES To find out the approach and management of small size renal stones. MATERIAL AND METHODS A search was performed in 2015, on various guidelines and articles, using the terms renal calculi, 1-2cm, <2cm,...
COMPARISON OF DEXMEDETOMIDINE WITH FENTANYL FOR SEDATION IN TYMPANOPLASTY (ENT SURGERIES) DONE UNDER MONITORED ANAESTHESIA CARE
INTRODUCTION Monitored anaesthesia care involves administering a combination of drugs for anxiolytic, hypnotic, amnestic and analgesic effect. Ideally it should result in less physiological disturbance and allow for more...
ASSOCIATION BETWEEN SUBCLINICAL HYPOTHYROIDISM AND DIABETIC RETINOPATHY IN TYPE 2 DIABETIC PATIENTS
BACKGROUND Several studies have demonstrated an association between subclinical hypothyroidism and diabetic retinopathy with conflicting results. This study is aimed to find out if any such association exists as it may h...
COMPARISON OF ROCURONIUM BROMIDE AND SUCCINYLCHOLINE CHLORIDE FOR USE DURING RAPID SEQUENCE INTUBATION IN ADULTS
The goal of rapid sequence intubation is to secure the patients airway smoothly and quickly, minimizing the chances of regurgitation and aspiration of gastric contents. Traditionally succinylcholine chloride has been the...