Background: Cholecystectomy is the treatment of choice for symptomatic gall stone disease. The most important advantage of laparoscopic cholecystectomy (LC) is that it abolishes the trauma of access as well as the transient ileus that follows open abdominal surgery. Hence; under the light of above obtained data, we sought to investigate the technical feasibility, and safety of 3-port laparoscopic cholecystectomy versus standard 4-port laparoscopic cholecystectomy. Materials & methods: The present study was conducted on 40 patients who were schedule to undergo elective laparoscopic cholecystectomy. The patients were divided into two groups: Three-port group, and Four-port group. Both the groups included 20 patients each. All the patients underwent LC according to their respective study groups. Primary outcome measure was pain score after surgery. Assessment of the pain score was done by using a 10-cm visual analog scale (VAS). The Student t test and Chi- square test was used to evaluate the significance of each parameter. Results: Mean VAS on day of discharge and on follow-up among the patients of the three port group was found to be 6.56 and 2.86 respectively. Mean VAS on day of discharge and on follow-up among the patients of the four port group was found to be 7.26 and 3.99 respectively. Mean pain score, as assessed by VAS was significantly higher among subjects of four port group. Conclusion: In terms of postoperative pain control, 3 port LC is better in comparison to 4 port LC.
Key words: Laparoscopic cholecystectomy, Gallstones