TO STUDY THE EFFICACY AND FEASABILITY OF 3 PORT AND 4 PORT LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Satyendra Kumar; Dr. Pankaj Kumar Saunakiya; Dr. Rakesh Faujdar; Dr. Ashish Sharma

Volume : VIII, Issue : VI, June - 2019

TO STUDY THE EFFICACY AND FEASABILITY OF 3 PORT AND 4 PORT LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Satyendra Kumar, Dr. Pankaj Kumar Saunakiya, Dr. Rakesh Faujdar, Dr. Ashish Sharma

Abstract :

AIM: The aim of the study is to compare the efficacy and feasibility of 3 port LC and 4 port LC in Indian setup. Method: Prospective analysis of 160 patients operated during 2015-2017 at M.L.B. Medical College, Jhansi. Outcome parameters includes operating time, days of hospital stay, days taken to return to work, cosmetic satisfaction, post operative pain and quantitative requirement of analgesia after surgery. Results: 80 patients underwent 3 port LC and 80 patients underwent 4 port LC. In both 3 port and 4 port LC, the operating time was more or less equal [3 port LC-12.5 +7.4 to 4 port LC 13.78 + 8.5]. no vascular injuries in both 3 port and 4 port LC. 3 patients developed ductal injury is 3 port and 2 patients in 4 port LC. Post operatively seroma developed in 4 patients in 3 port group and 6 patients in 4 port group. 2 patients in each group developed biliary peritonitis. 3 port group has lesser hospital stay, less use of analgesics and better cosmesis. Conclusions: pre-operatively there is no significant difference between 3 port and 4 port LC. Post operatively 3 port is better than 4 port LC in terms of cosmesis, shorter hospital stay and low analgesic use.