Two-port and four-port laparoscopic cholecystectomy: Differences in outcome

Abstract

Background: Laparoscopic cholecystectomy has several advantages over open cholecystectomy. The purpose of this study was to compare the outcome between two-port and four-port laparoscopic cholecystectomy. Patients and Methods: Between October 2011 and September 2013, 200 patients with calculous cholecystitis were prospectively consecutively selected into two groups of 100 patients each for two-port and four-port laparoscopic cholecystectomy, respectively. Results: There were 39 males and 161 females. The mean operative time required in the two-port group was 46.66 ± 14.47 minutes and in four-port group was 48.79 ± 8.336 minutes (P value = 0.1297). Three patients were converted to four-port laparoscopic cholecystectomy in the two-port group. There were 25 minor complications (14 in the two-port group and 11 in the four-port group). The VAS scores were statistically significant at 1, 12, and 24 hours. An average requirement of 0.73 doses of analgesia in the two-port group and 1.36 doses in the four-port cohort was observed. The hospital stay was significantly shorter in the two-port group. Conclusion: The two-port laparoscopic cholecystectomy is safe and preferable due to fewer requirements of analgesics, better cosmesis, cost-effectiveness, shorter hospital stay, and reduced labor.