Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The advancement of Laparoscopic Cholecystectomy (LC) techniques aims to reduce the size and number of ports used, with the goal of enhancing patient satisfaction and outcomes. This study was conducted to evaluate and compare the safety, outcomes and advantages of three‐port versus four‐port LC procedures. This prospective study involved 123 patients with symptomatic gallstone disease or gallbladder polyps larger than 1cm at the base. Patients with jaundice or choledocholithiasis were excluded. The patients were divided into two groups: Group T underwent three‐port LC, while Group F underwent four‐port LC. Various outcomes, including surgical duration, intra‐operative and post‐operative variables, were assessed and compared between the two groups. Statistically significant differences were observed between the two groups in terms of Visual Analogue Score for pain at 6 and 24 hours, analgesic requirement, duration of hospital stay and return to work, with all parameters favoring the three‐port LC group. Patients in the three‐port group also reported better cosmetic outcomes. Other variables showed comparable results between the two groups. The three‐port LC procedure was found to be safe and potentially more cost‐effective compared to the four‐port LC procedure. Experienced surgeons can initiate LC with three ports and add a fourth port if necessary.
How to cite this article:
Chavada Ronak Rajubhai, Mohammad Asad A. Juneja, Aashka U. Bhatt and Tanu Priya. A Comparative Analysis of Three‐Port vs Standard Four Port Technique of Laparoscopic Cholecystectomy.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.458.462
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.458.462