World Journal of Laparoscopic Surgery

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VOLUME 10 , ISSUE 3 ( September-December, 2017 ) > List of Articles

REVIEW ARTICLE

Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature

Mohammad O Tabrez, Jatinder S Chowhan

Citation Information : Tabrez MO, Chowhan JS. Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature. World J Lap Surg 2017; 10 (3):95-97.

DOI: 10.5005/jp-journals-10033-1314

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Laparoscopic cholecystectomy (LC) is the gold standard for the removal of gallbladder stones. In an attempt to reduce the invasiveness of the procedure, surgeons have done various modifications like reduction of port size and/or number, which is used in conventional LC. The main objective of this review is to compare the two-port mini LC with other techniques of LC like conventional four-port laparoscopic surgery or single-incision laparoscopic cholecystectomy (SILC) in elective laparoscopic cholecystectomy and determine the outcome of two-port mini LC. Material and methods: Literature review was performed on newly minimal invasive approach for LC, two-port cholecystectomy, variations in size and port of cholecystectomy and their advantages over one another, and SILC. The search was performed using the search engines like Google, PubMed. Results: Postoperative pain was significantly low in the two-port group. The overall analgesia requirements and return to daily activity were significantly lower in two-port group. The cosmesis score of the two-port group was better than four-port group or SILC. However, the length of hospital stay and complications was similar between the two-port and four-port LC, but it differs in SILC. Conclusion: Two-port mini LC resulted in reduced pain, need for analgesia, and improved cosmesis without increasing the operative time and complication rates compared with that in four-port LC or SILC. Hence, two-port mini LC can be tried firstly and can be converted to additional four-port LC when necessary.


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