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 thetreatment of gallstone disease. The present study was conducted to compare three portversus standard fourport laparoscopic cholecystectomy.Materials and Method: The present study was conducted on 120 gall stones patients of both genders. Allpatients were divided into two groups viz. group I who were subjected to the three port technique and groupII patients who were subjected to the conventional four port technique. Intra- operative findings, pain scoreetc. 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 minutesin group I and 62.1 minutes in group II. Intra- operative complications were perforation seen 6 patients ingroup I and 4 in group II, stone spillage 4 in group I and 3 in group II, bleeding from liver 5 in group I and4 in group II, cystic artery bleeding 2 in group I and 1 in group II. Post- operative complications were feverseen 4 patients in group I and 7 in group II, vomiting 5 in group I and 6 in group II, Basal pneumonitis 3 ingroup 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 thanstandardfour port laparoscopic cholecystectomy