24. Comparative Study of Three Port Versus Four Port Laparoscopic Cholecystectomy for Acute Calculus Cholecystitis
Nasir Naseem1, Muhammad Umar2, Muhammad Akram Dogar2, Muhammad Aamir Kiani2, Wasif Majeed Chaudhry3, and Adeel Riaz2
Objective: To compare laparoscopic cholecystectomy These 3 port versus 4Port terms of Post time taken for operation, pain score following operation, stay, and frequency of complications after surgery.
Study Design: Randomized controlled trial.
Place and Duration of Study: This study was conducted at the Department of General Surgery, Central Park Teaching Hospital, and Lahore from 1st July 2018 to 31st March 2019.
Materials and Methods: One hundred and twenty two diagnosed cases of acute calculous cholecystitis were included and divided into two equal groups of 61 patients each. Patients in group A underwent laparoscopic cholecystectomy by using 3 ports while patients in B Group underwent laparoscopic cholecystectomy by using 4 ports. Both the groups were analyzed in terms of mean operative time, postoperative pain according to visual analogue scale, mean hospital stay and frequency of post-operative complications including rate of conversion to open surgery, port site infection, injury to CBD and bile leak.
Results: The operative time was of 37.13±8.07 minutes in Group A while it was 43.87±7.16 minutes in B Group (p=0.001).The difference between both the groups in regard of mean pain score according to VAS at twelve and twenty four hours after surgery was statistically significant (p˂0.05). There was no sufficiently great difference between both the groups in terms of stay in the hospital (p=0.260) and frequency of converted to open surgery (0.154), injury to bile duct (p=0.315), wound infection (p=0.559) and bile leak (p=0.433).
Conclusion: Three port laparoscopic cholecystectomy is better than the standard 04 port lap cholecystectomy in terms of less operative time and pain following surgery with a comparable safety profile.
Key Words: Acute calculouscholecystitis, four port laparoscopic cholecystectomy, Stay following surgery, Time taken for surgery, three port laparoscopic cholecystectomy.
Citation of article: Naseem N, Umar M, Dogar MA, Kiani MA, Chaudhry WM, Riaz A. Comparative Study of Three Port Versus Four Port Laparoscopic Cholecystectomy for Acute Calculus Cholecystitis. Med Forum 2019;30(11):91-94.