3 Port vs 4 Port laparoscopic cholecystectomy in gall stones disease

Abstract

Background:Gallstones or cholelithiasis constitute a significant health problem in developed societies and developing countries. We have shifted from open cholecystectomy to laparoscopic cholecystectomy as gold standard because of reduced morbidity and mortality. In this study, it is observed that just by reducing the port number, we could further reduce morbidity. Methods of Study: Sixty patients who had gall stone disease and subjected to laparoscopic cholecystectomy were randomized to undergo either the 3 port or 4 port technique. Intraoperative -Operative Time, Difficulty encountered, Post-operative pain was assessed on 12 hrs, 24 hrs pod3 and pod5, analgesic requirement after POD 1, Postoperative stay in hospital, return to normal activityResults: Demographic data was comparable for both groups. Patient in the 3-port group had shorter operative time (54.2+ 12.9 min vs 75.8 +26.28 min), Reduced pain score, reduced analgesic usage(4.1vs 6.3 doses), early discharge(3.6 vs 5 pod), early return to work (4.1 vs 5.8)Conclusion: Hence 3 port laparoscopic cholecystectomy is technically feasible, safe, and beneficial.