Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease

Laparoscopic cholecystectomy is currently accepted approach for the management of patients with cholelithiasis. The standard method for removal of gall bladder in laparoscopic cholecystectomy is by using four ports. Although other techniques such as by using 3 ports or only single port are being pr...

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Autores principales:	KK Tamrakar, P Khwaunju, K Sah
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/452fce895985401788644462140f45fd
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spelling	oai:doaj.org-article:452fce895985401788644462140f45fd2021-12-05T19:16:44ZComparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease10.3126/jssn.v18i3.152701815-39842392-4772https://doaj.org/article/452fce895985401788644462140f45fd2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15270https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Laparoscopic cholecystectomy is currently accepted approach for the management of patients with cholelithiasis. The standard method for removal of gall bladder in laparoscopic cholecystectomy is by using four ports. Although other techniques such as by using 3 ports or only single port are being practiced, their safety and efficacy has not been established. This study was done to assess the efficacy and safety of the use of only three ports for laparoscopic cholecystectomy. Methods: Between August 2013 and February 2014, 78 patients with the diagnosis of cholelithiasis were operated. Patients were randomized into 3-ports group and 4-ports group using random number. Operative time taken for the procedure and operative findings were noted. Postoperative pain and complications were noted in both groups. The two groups were compared using student-T test and chi square test. Results: There was no significant difference in the operating time taken for the 3-ports laparoscopic cholecystectomy and 4-ports laparoscopic cholecystectomy. However operating time was significantly higher when the cases that had dense adhesions present were compared with those who did not have. Conversion from 3-ports technique to 4-ports technique was determined mainly by the degree of adhesions and to some degree by the BMI of the patient. Postoperative wound infection rate was similar among the two groups. There was no incidence of biliary injury in both the groups. Conclusion: 3-ports laparoscopic cholecystectomy is safe and efficient approach for the selected patients who seek for lesser invasive method of laparoscopic cholecystectomy.KK TamrakarP KhwaunjuK SahSociety of Surgeons of NepalarticleSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 KK Tamrakar P Khwaunju K Sah Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
description	Laparoscopic cholecystectomy is currently accepted approach for the management of patients with cholelithiasis. The standard method for removal of gall bladder in laparoscopic cholecystectomy is by using four ports. Although other techniques such as by using 3 ports or only single port are being practiced, their safety and efficacy has not been established. This study was done to assess the efficacy and safety of the use of only three ports for laparoscopic cholecystectomy. Methods: Between August 2013 and February 2014, 78 patients with the diagnosis of cholelithiasis were operated. Patients were randomized into 3-ports group and 4-ports group using random number. Operative time taken for the procedure and operative findings were noted. Postoperative pain and complications were noted in both groups. The two groups were compared using student-T test and chi square test. Results: There was no significant difference in the operating time taken for the 3-ports laparoscopic cholecystectomy and 4-ports laparoscopic cholecystectomy. However operating time was significantly higher when the cases that had dense adhesions present were compared with those who did not have. Conversion from 3-ports technique to 4-ports technique was determined mainly by the degree of adhesions and to some degree by the BMI of the patient. Postoperative wound infection rate was similar among the two groups. There was no incidence of biliary injury in both the groups. Conclusion: 3-ports laparoscopic cholecystectomy is safe and efficient approach for the selected patients who seek for lesser invasive method of laparoscopic cholecystectomy.
format	article
author	KK Tamrakar P Khwaunju K Sah
author_facet	KK Tamrakar P Khwaunju K Sah
author_sort	KK Tamrakar
title	Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
title_short	Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
title_full	Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
title_fullStr	Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
title_full_unstemmed	Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
title_sort	comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/452fce895985401788644462140f45fd
work_keys_str_mv	AT kktamrakar comparativestudybetween3portsand4portslaparoscopiccholecystectomyforthecasesofgallstonedisease AT pkhwaunju comparativestudybetween3portsand4portslaparoscopiccholecystectomyforthecasesofgallstonedisease AT ksah comparativestudybetween3portsand4portslaparoscopiccholecystectomyforthecasesofgallstonedisease
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Comparative study between 3-ports and 4-ports laparoscopic cholecystectomy for the cases of gall stone disease

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