“Comparative Study Between Two Incisions Two Ports Laparoscopic Cholecystectomy And Four Incisions Four Ports Laparoscopic Cholecystectomy”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
At times Laparoscopic Cholecystectomy becomes difficult. Laparoscopic Cholecystectomy may be rendered difficult by various problems encountered during surgery. Aims And Objective: To calculate the male to female ratio in case of gall stones, age distribution along with the operative difficulties and techniques in two incisions two ports and four incisions four ports laparoscopic cholecystectomy and compare the outcome of two ports and four ports laparoscopic cholecystectomy in terms of operation time, hospital stay, complication rate, cosmesis, conversion rate to open Cholecystectomy. Material And Methods: The present study will be conducted in three years on patients of gall bladder disease admitted for cholecystectomy throughout patient department / Emergency in Subharti medical college in whom laparoscopic cholecystectomy will be attempted. Number of patient will be 100. 50 patients will be planned for two incisions(10mm,5mm) two ports laparoscopic cholecystectomy and 50 patients will be planned for four incisions(10mm,10mm,5mm,5mm) four ports (Standard) laparoscopic cholecystectomySampling Technique: Patients were selected alternatively for Two Incisions Two Ports Laparoscopic Cholecystectomy and Four Incisions Four Ports Laparoscopic Cholecystectomy Observation And Results: So we conclude from the study that Two incisions two ports laparoscopic cholecystectomy has lesser hospital stay, lesser post operative pain, lesser post operative analgesia requirement, far superior cosmesis and similar complication, operative time and conversion rate compared to four incisions four ports laparoscopic cholecystectomy. We believe that two incisions two ports laparoscopic cholecystectomy is better than Single incision laparoscopic cholecystectomy (SILS) because SILS require different orientation during surgery. It also require special instrument such as reticulating instruments and multi channel ports during surgery and incision at umbilicus is greater than two port technique(15 mm in SILS v/s 10 mm in two port technique). There are higher chances of occurrence of umbilical hernia in SILS as compared to two port techniques.
Authors and Affiliations
Dr Kumar Deepak, Dr Bawa Manjul, Dr Sumit Kansal, Dr Singh Ketan, Dr Attri P. C, Dr Chaudhary Neetu
Keywords
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- EP ID EP262856
- DOI 10.9790/0853-1701011722
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