Comparative Evaluation of Efficacy of Three Port Versus Standard Four Port Laparoscopic Cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy has established itself firmly as the “gold standard” for the
treatment of gallstone disease. The present study was conducted to compare three portversus standard four
port laparoscopic cholecystectomy.
Materials and Method: The present study was conducted on 120 gall stones patients of both genders. All
patients were divided into two groups viz. group I who were subjected to the three port technique and group
II patients who were subjected to the conventional four port technique. Intra- operative findings, pain score
etc. was compared.
Results: The mean VAS was 2.14 in group I and 4.30 in group II and mean operative time was 51.2 minutes
in group I and 62.1 minutes in group II. Intra- operative complications were perforation seen 6 patients in
group I and 4 in group II, stone spillage 4 in group I and 3 in group II, bleeding from liver 5 in group I and
4 in group II, cystic artery bleeding 2 in group I and 1 in group II. Post- operative complications were fever
seen 4 patients in group I and 7 in group II, vomiting 5 in group I and 6 in group II, Basal pneumonitis 3 in
group I and 5 in group II, seroma 1 in group I and 2 in group II.
Conclusion: Authors found that three port laparoscopic cholecystectomy found to be better thanstandard
four port laparoscopic cholecystectomy