World Journal of Laparoscopic Surgery

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VOLUME 7 , ISSUE 3 ( September-December, 2014 ) > List of Articles

RESEARCH ARTICLE

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

Aswini Kumar Misro, Prakash Sapkota

Citation Information : Misro AK, Sapkota P. Two Port Laparoscopic Cholecystectomy: An Initial Experience of 25 Cases with a New Technique. World J Lap Surg 2014; 7 (3):103-106.

DOI: 10.5005/jp-journals-10033-1227

Published Online: 01-06-2010

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Background

In Nepal, it is quite common to find patients with large stone burden and thick gallbladder wall which often leads to incision extension. We have used this extended incision to our advantage. The present technique of two port laparoscopic cholecystectomy not only helps overcoming the specimen extraction difficulties but also contributes to better cosmesis.

Patients and methods

A total of 25 patients underwent the surgery in 2008 to 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 subcutaneous emphysema at either port site. All patients were comfortable in the postoperative period and were routinely discharged on 2nd postoperative day except for two patients who has surgical site infection and fever respectively. Although three 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 two port laparoscopic cholecystectomy is safe, simple and inexpensive yet cosmetically rewarding.

How to cite this article

Misro AK, Sapkota P. Two Port Laparoscopic Cholecystectomy: An Initial Experience of 25 Cases with a New Technique. World J Lap Surg 2014;7(3):103-106.


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  1. Incision extension is the optimal method of difficult gallbladder extraction at laparoscopic cholecystectomy. Surg Endosc 1992 Sep-Oct;6(5):225-227.
  2. Laparoscopic cholecystectomy using a novel two-port technique for surgical residency training. Int Surg 2009 Apr-Jun;94(2):149-153.
  3. Two-port vs four-port laparascopic cholecystectomy: a prospective randomized controlled trial. Surg Endosc 2003;17:1624-1627.
  4. Abdominal fistula 7 years after laparoscopic cholecystectomy 2008 Sep 1;170(36):2803.
  5. Spilled gallstones: the source of an enigma. JSLS 2008 Jul-Sep;12(3):321-325.
  6. A tale of three spilled gall stones: one liver mass and two abscesses. Dig Surg 2006;23(3):198-200.
  7. Do not cry over spilled stones? Complications of gallstones spilled during laparoscopic cholecystectomy: case report a nd literature r eview. Can J Surg 1997 Aug;40(4):300-304.
  8. Two-port laparoscopic cholecystectomy: a new technique. J Ayub Med Coll Abbottabad 2008 Oct-Dec;20(4):167-168.
  9. Spilled gall stones during laparoscopic cholecystectomy: a review of the literature. Postgrad Med J 2004 Feb;80(940):77-79.
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