Abstract
Aim: This comparative prospective study was conducted at the L.N. Medical College and J.K. Hospital Bhopal Madhya Pradesh for a period of one year from Jan 2019 to Dec 2019. Material and Methods: The study included 100 patients who underwent planned four-port laparoscopic cholecystectomy for symptomatic, asymptomatic cholelithiasis, and benign gall bladder diseases. These patients were randomly divided into two groups. The first 50 patients in whom GB was retrieved from Epigastric port were assigned in Group A and the other 50 patients where GB was retrieved from Umbilical port were assigned in Group B. The fascial defect of a 10 mm port was closed by vicryl 2.0 with a port closure needle, while three 5 mm ports closed by applying sterile small dressing. Both groups use a surgical glove endobag for gall bladder retrieval. Results: The results of both these techniques were collected and analyzed. The mean age of patients was 43.8 years in group A and 43.6 in group B. The male to female ratio was near 1:2. in both groups. Group A VAS score is 4.2 and while in group B 3.1. Conclusion: Post-operative port site infection in group A was 2% while in group B is 4%, post-operative port site scar was cosmetically better and satisfactory in umbilical port than epigastric port.
Highlights
Cholecystectomy is the gold standard treatment of choice for symptomatic, Laparoscopic cholecystectomy offers a cure for gallstones with a minimally invasive procedure with minor pain, minimal scarring, and early return to full activity
This study indicates that in laparoscopic cholecystectomy, gall bladder retrieval through the umbilical port is a better alternative to gall bladder retrieval via an epigastric port in terms of postoperative pain; port site wound infection and port sitethe cosmetic appearance ofa scar, which is better and satisfactory in umbilical port than
Laparoscopic cholecystectomy is associated with greater chances of intra-abdominal stone spillage and implantation as well as port-site contamination during retrieval of gall-bladder specimen (Ali and Siddiqui 2013) [29]
Summary
Cholecystectomy is the gold standard treatment of choice for symptomatic, Laparoscopic cholecystectomy offers a cure for gallstones with a minimally invasive procedure with minor pain, minimal scarring, and early return to full activity. Laparoscopic asymptomatic gallstones, and benign gall bladder disease [1]. In 1910 Hans Christian Jacobaeus of Sweden performed the first laparoscopic operation in humans [2]. Review Round 2 04-06-2020 Review Round 3
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