THREE PORT VERSUS FOUR PORT CHOLECYSTECTOMY- A RETROSPECTIVE DESCRIPTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Various modifications have been tried in laparoscopic cholecystectomy since its introduction. One, two and three port LC have been performed on limited scale. Our aim was to compare three port LC with four port LC in patients with cholelithiasis. The main objective of this study was to evaluate the outcome of 3 port LC for treatment of cholelithiasis by comparing the result with 4 port LC with respect to safety and efficacy. MATERIALS AND METHODS In this comparative study, a total of 150 patients of laparoscopic cholecystectomy for gall stone disease were studied by dividing them into two groups. The results were compared in terms of complications, conversion from 3 port to 4 port and from LC to open procedure, hospital stay, pain score, operative time, need of analgesia and bile duct injury. RESULTS A total of 150 patients of cholelithiasis were treated by laparoscopic cholecystectomy. Three port LC was performed in 60 (40%) patients and 4 port LC was performed in 90 (60%) patients. In group 1, 44.4% patients complained of mild pain and 55.5% experienced moderate-to-severe pain on VAS post-operatively, while in group 2 70% patients complained of mild pain and 30% patients complained of moderate-to-severe pain post-operatively. There was no bile duct injury reported in either group. However, in group 2 (3 port LC) 3 cases (5%) converted to 4 port LC and there was no conversion (open) reported in group 1 (4 port LC). CONCLUSION In this comparative study, we found that use of 3 port LC did not affect the procedure safety, conversion rate, operating time and complication rate. Three port LC is routine in our institute and used by experienced surgeons, needed fewer painkillers, shorter hospital stay and more cost effective.
Authors and Affiliations
Mahesh Chandra Pandey, Mishra S. P, Nagar H. S, Rawat H. S, Shrivastava R. K
Keywords
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- EP ID EP411263
- DOI 10.14260/jemds/2018/269
- Views 97
- Downloads 0
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