World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 2 ( May-August, 2018 ) > List of Articles

ORIGINAL RESEARCH

Two Port Laparoscopic Cholecystectomy—An Initial Experience of 25 Cases with a New Technique

Aswini Kumar Misro

Keywords : Cholecystectomy, Laparoscopic

Citation Information : Misro AK. Two Port Laparoscopic Cholecystectomy—An Initial Experience of 25 Cases with a New Technique. World J Lap Surg 2018; 11 (2):64-67.

DOI: 10.5005/jp-journals-10033-1337

License: CC BY-NC 4.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: In Nepal, it is quite common to find patients with large stone burden and thick gallbladderwall which often leads to incision extension. We have used this extended incision to our advantage. The present technique of 2 port Laparoscopic cholecystectomy not only helps overcoming thespecimen extraction difficulties but also contributes to better cosmesis. Patients and methods: Total of 25 patients were underwent the surgery in 2008–2010. Results: The mean operating time was 50 minutes. None had significant procedural blood loss, iatrogenic injury, perforation of gallbladder, bile spillage, significant gas leak or subcutaneousemphysema at either port site. All patients were comfortable in the postoperative period and were routinely discharged on 2nd postoperative day except for 2 patients who has surgical site infection and fever respectively. Although 3 cases were converted to standard 4 port technique, none required conversion to open cholecystectomy. Out of 25 patients, 7 cases have completed 3 months follow up and did not show any complication like port site hernia. Conclusion: The described method of performing 2 port laparoscopic cholecystectomy is safe, simple and inexpensive yet cosmetically rewarding.


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