Retrieval of Gallbladder through Subxiphoid V/S Supraumbilical Port in Laparoscopic Cholecystectomy.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
BACKGROUND Aim- Diseases of gallbladder have presented for a long time. Before era of laparoscopic open cholecystectomy was the procedure of choice but invention of laparoscopy made it the procedure of choice for elective cholecystectomy. The operation of laparoscopic cholecystectomy is still evolving with time and the size, number of ports is reducing day by day. This prospective, randomised pilot study was done to compare the extraction of gallbladder through epigastric/subxiphoid port v/s supraumbilical port in laparoscopic cholecystectomy in terms of operative time, complications, extention of the incision, hospital stay, cosmesis, ease of use and acceptability by both the patient and surgeon. MATERIALS AND METHODS 60 patients undergoing laparoscopic cholecystectomy were taken up for study. The patients were divided into two groups A and B, each consisting of 30 patients. In Group A gallbladder was extracted through epigastric port and in Group B gallbladder extracted via supraumbilical port. The findings of subgroups were compared and results was evaluated by using ‘p’ (determined by chi-square test) and ‘t’ (determined using degree of freedom and standard deviation) values. RESULTS Females were found to be more prone to cholelithiasis. The mean operative time in Group A was 33.3 mins. and in Group B was 33.1 mins. Both the groups were comparable in terms of intraoperative complications, technical ease and feasibility. Port site infection was seen in 2 patients. The port used for extraction was the one, which became the site of infection. Port site pain was found to be most commonly associated with the epigastric port irrespective of whether it was used for extraction of gallbladder or not. Port site hernia was seen in only one patient in supraumbilical port site, which was found to be non-significant statistically. CONCLUSION It was concluded that both ports are equally efficient in terms of gallbladder extraction without any major complications or the time taken but port site pain was found to be most commonly associated with the epigastric port irrespective of whether it was used for extraction of gallbladder or not. Thus, reducing the size of epigastric port to 5 mm may reduce the morbidity.
Authors and Affiliations
Dr Mohammad equal Ahmad, dr apurva agarwal
Keywords
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- EP ID EP380898
- DOI 10.9790/0853-1708043641.
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