VOLUME 10 , ISSUE 1 ( January-April, 2017 ) > List of Articles
Muzzafar Zaman, Riki Singal
Citation Information : Zaman M, Singal R. Comparison of Three-port vs Four-port Laparoscopic Cholecystectomy in a Medical College in the Periphery. World J Lap Surg 2017; 10 (1):12-16.
DOI: 10.5005/jp-journals-10033-1294
Published Online: 01-06-2011
Copyright Statement: Copyright © 2017; The Author(s).
To compare three-port laparoscopic cholecystectomy (LC) with four-port LC in chronic The present study was conducted in the Department of Surgery at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala. Totally, 200 adult patients of cholelithiasis with chronic cholecystitis were included in the study. These cases were randomly divided into two groups (I and II) consisting of 100 cases in each group. The study was conducted for a period of 1 year from April 2014 to March 2015. Three-port LC was performed in group I patients and four-port LC was performed in group II. The cosmetic results, incidence of postoperative complications, and operative time were noted in both the groups. The present study is being undertaken to compare the various merits and demerits of three-port LC Gallstone disease is found to be more common in the 4th and 5th decades. Mean age of presentation was 41 years. Three-port LC is difficult in cases of dense adhesions. There were significant differences in operative time (93.16 minutes for three-port LC and 50.66 minutes for four-port LC). There was no significant difference due to type of operation. Cosmetic appearances for both the procedures were comparable. We concluded that both three-port and four-port cholecystectomies are equally good procedures in the hands of experienced laparoscopic surgeons. The complications, operative time, hospital stay, cosmesis, and disability days were comparable in both groups. The four-port technique should be accepted and adopted only by beginners in minimal access surgery. The operator who performs three-port LC should be prepared for placement of an additional port or conversion to open laparotomy whenever complication arises. Singal R, Goyal P, Zaman M, Mishra RK. Comparison of Three-port