THREE PORT VERSUS FOUR PORT LAPAROSCOPIC CHOLECYSTECTOMY : A COMPARATIVE STUDY

Dr. Arun Kumar; Dr. Deepak Kumar; Dr. Prashant Gupta; Dr. Jugendra Pal Singh Shakya

Volume : VIII, Issue : X, October - 2018

THREE PORT VERSUS FOUR PORT LAPAROSCOPIC CHOLECYSTECTOMY : A COMPARATIVE STUDY

Dr. Arun Kumar, Dr. Deepak Kumar, Dr. Prashant Gupta, Dr. Jugendra Pal Singh Shakya

Abstract :

Aims & Objectives: To compare three port–laparoscopic cholecystectomy (3 LC) with four port–laparoscopic cholecystectomy in term of safety, efficacy, post–op pain, hospital stay and complication rates.

Material & Methods: The present study was conducted in the department of Surgery, S.N. Medical College, Agra (U.P.). Total 104 adult patients of cholelithiasis with chronic cholecystitis were included in the study. These 104 patients were randomly divided into two group (I & II) consisting of 52 patients in each group. Study was conducted for a period of 1 year from Jan. 2017 to Jan. 2018.

Group–I: performed 3 port LC (3 port–laparoscopic cholecystectomy)

Group–II: performed 4 port LC (4 port–laparoscopic cholecystectomy).

The present study is being conducted to compare the various merits and demerits of 3 port LC and 4 port LC performed by same surgical team in the same scenario in our setup in our medical college.

Results: Statistically significant different was found between the two group in term of visual analogue score for pain at 6 and 24 hr, analgesic requirement, duration of hospital stay and back to work and cosmetic outcome all being less in the three port LC group. Result of other variable were comparable in the two groups.

Conclusion: Three port laparoscopic cholecystectomy resulted in less port site pain and better cosmetic outcome require fewer analgesic, fewer surgical scar and without increase in complication with shorter duration of hospital stay.