Title: Three-port versus four-port laparoscopic cholecystectomy: a comparative study at a Teaching Hospital of Western Maharashtra
Authors: Dr Anand Prabhakar Zingade, Dr Harshal Tambe
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.135
Abstract
Background: Several studies have shown that 3-port laparoscopic cholecystectomy is technically feasible and has better outcome over four port LC. A comparative study was conducted with the aim to evaluate and compare the benefits of three-port over four-port laparoscopic cholecystectomy.
Methodology: The study was conducted in a Teaching hospital in a sub-urban area of Pune city, Maharashtra. This study was conducted among 80 patients who underwent laparoscopic cholecystectomy from January 2017 to February 2019. Post-operative Patients were assessed for days of hospital stay, visual analogue scale (VAS) pain score at 6 hrs and 24 hrs and time taken for return to routine activity.
Results: The VAS pain score at 6 hrs and 24 hrs was less among the three post LC cases as compared to four port LC cases which was statistically significant. (p=0.005). Duration of stay in hospital and return to routine activity was also significantly longer among four port LC cases.
Conclusion: Three-port LC technique is feasible and has better clinical outcomes, and the procedure has considerable advantages over four-port LC in relation.
Keywords: Three port Laparoscopic Cholecystectomy, Four port Laparoscopic Cholecystectomy, Visual analogue scale, Duration of stay in Hospital, Operative time etc.
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