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: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


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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  1. Bordelon BM, Hobday KA, Hunter JG. Incision extension is the optimal method of difficult gallbladder extraction at laparoscopic cholecystectomy. Surg Endosc. 1992 Sep-Oct; 6(5):225-227.
  2. Shimura T, Suehiro T, Suzuki H, Mochida Y, Okada K, Araki K, Kuwano H. Laparoscopic cholecystectomy using a novel two-port technique for surgical residency training. Int Surg. 2009 Apr-Jun;94(2):149-153.
  3. Poon CM, Chan KW, Lee DW, Chan KC, Ko CW, Cheung HY, et al. Two-port versus four-port laparoscopic cholecystectomy. Surgical Endoscopy and Other Interventional Techniques. 2003 Oct 1;17(10):1624-1627.
  4. Hougård K, Bergenfeldt M. Abdominal fistula 7 years after laparoscopic cholecystectomy. Ugeskrift for laeger. 2008 Sep;170(36):2803.
  5. Arishi AR, Rabie ME, Khan MS, Sumaili H, Shaabi H, Michael NT, et al. Spilled gallstones: the source of an enigma. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2008 Jul;12(3):321-325.
  6. Bhati CS, Tamijmarane A, Bramhall SR. A tale of three spilled gall stones: one liver mass and two abscesses. Dig Surg. 2006;23(3):198-200.
  7. Patterson EJ, Nagy AG. Don't cry over spilled stones? Complications of gallstones spilled during laparoscopic cholecystectomy: case report and literature review. Can J Surg. 1997 Aug;40(4):300-304.
  8. Waqar SH, Shah SF, Khan IA, Ch TS, Abdullah MT, Malik ZI, et al. Two-port laparoscopic cholecystectomy–a new technique. J Ayub Med Coll Abbottabad. 2008 Oct- Dec;20(4):167- 168.
  9. Sathesh-Kumar T, Saklani AP, Vinayagam R, Blackett RL. Spilled gall stones during laparoscopic cholecystectomy: a review of the literature. Postgraduate medical journal. 2004 Feb 1;80(940):77-79.
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