Journal of AdvancedMedical and Dental Sciences Research

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; in the present study, technical feasibility, safety, and benefit of 3-port laparoscopic cholecystectomy versus standard 4-port laparoscopic cholecystectomy were compared. Materials & methods: A total of 30 patients scheduled to undergo LC were included in the present study. All the patients were broadly divided into two study groups with 15 patients in each group. Group A included patients who underwent 3-port laparoscopic cholecystectomy, while group B included patients who underwent 4-port laparoscopic cholecystectomy.  Primary outcome measure in the present study were pain score and patient satisfaction score (PSS) after surgery. Pain score was assessed by done by using a 10-cm visual analog scale (VAS). Results: Non- significant results were obtained while comparing the mean duration of hospital stay among subjects of the study group and control group (P- value > 0.05). Non-significant results were obtained while comparing the mean VAS at different port sites. Mean VAS was significantly higher for the subjects of the four port group on the day of discharge and after one week of follow-up. Significant results were obtained on comparing the mean PSS on the day of discharge among the subjects of both the study groups (P- value < 0.05). Non- significant results were obtained on comparing the mean PSS after one week follow-up among the subjects of both the study groups (P- value > 0.05). Conclusion: The three port technique is as safe as the standard four port for laparoscopic cholecystectomy. At the same time, it is also recommended that the surgeon should not hesitate to put fourth port to ensure safe completion of Surgery
Key words: Laparoscopic cholecystectomy,  Port.

Received: 18 February, 2019                           Revised: 28 March, 2019                               Accepted: 29 March, 2019

Corresponding author: Dr. Ajay Kumar, Associate professor, Department of General Surgery, Rajshree Medical Research Institute & Hospital, Bareilly, Uttar Pradesh, India

This article may be cited as: Kumar A. Comparison of efficacy of  3-port laparoscopic cholecystectomy versus standard 4-port Laparoscopic Cholecystectomy.  J Adv Med Dent Scie Res 2019;7(4): 118-120.