World Journal of Laparoscopic Surgery

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VOLUME 9 , ISSUE 1 ( January-April, 2016 ) > 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 2016; 9 (1):1-4.

DOI: 10.5005/jp-journals-10033-1259

Published Online: 00-04-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


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

Total of 25 patients were 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 2 patients who has surgical site infection and fever respectively. Although 3 cases were converted to standard four-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.

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 2016;9(1):1-4.


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