LAPAROSCOPIC CHOLECYSTECTOMY BY MINIMUM PORTS TECHNIQUE GIVES BETTER OUTCOMEAN OBSERVATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 20
Abstract
BACKGROUND Less than four ports laparoscopic cholecystectomy (LC) has been accepted and has become the popular procedure for safe and cosmetically better outcome. But there are few studies comparing the number of ports used in laparoscopic cholecystectomy. This observational study was done to compare LC by two ports with four ports. We wanted to determine the advantages of minimum port laparoscopic cholecystectomy over conventional cholecystectomy. METHODS It is a descriptive study. This study was carried out over a period of 1 year at Gauhati Medical College from 1/1/17 till 4/1/18. All patients with cholelithiasis who attended the surgical OPD were evaluated. A total of 60 consecutive patients undergoing LC were analysed who had been executed a four-port conventional/two-ports LC. 10-mm umbilical and a 5-mm epigastric port were used in two ports technique. Time period of operation was noted. Along with cosmetic effect, the post-operative pain, requirement of analgesic to reduce pain, total hospital stay, and complications if any were meticulously studied. RESULTS Out of 60 patients, the M: F ratio was 1:4 with average age being 39 and 22 years respectively. The mean operative times were similar. Post-operative pain was minimal in the two-ports group at up to a maximum 24 hrs. The overall analgesia required, and return to day-to-day work were significantly lower in two-ports group of patients. Cosmetically two-ports group was much better than four-ports group. However, post-operative hospital stay and operative complications were similar between the two groups. CONCLUSIONS Two ports laparoscopic cholecystectomy (LC) resulted in reduced pain, minimum need for analgesics, better cosmesis without increasing the operative time period and reduced complication rates compared to that in four-ports LC. Thus, it can be recommended as an acceptable technique in selected patients. It is the procedures of choice so far as cosmesis and scar are concerned.
Authors and Affiliations
Purujit Choudhury, Abhijit Sarma
Keywords
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- EP ID EP617760
- DOI 10.14260/jemds/2019/361
- Views 108
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