Clinical Outcome in Two Incision, Three Port Laparoscopic Cholecystectomy in Gall Stone Disease

Abstract

Hari Krishan Rathee, Ak Dalal, Usha R Dalal, Narayan, Shilpi, Rupali

Background Conventional laparoscopic cholecystectomy requires four different incisions to insert the four ports for various in- struments. It has been seen that fourth trocar which is used to retract fundus of gall bladder is not required at all and laparoscopic cholecystectomy can be performed without using it. Various modification have been done in this regard. The present study is designed to evaluate the feasibility of two incision three port laparoscopic and its outcome in term of postoperative recovery.

Methods A prospective study was conducted in a unit in Department of General Surgery, Government Medical College and Hospital, Chandigarh, India. 100 patients of either sex undergoing two incision laparoscopic surgery in gallstone disease from January 2018 to October 2019.

Results In the study, two incision, three port laparoscopic cholecystectomy is safe and feasible technique with added advan- tage of significantly less port site pain, good satisfaction score and less operative time with experienced surgeon.

Conclusions Two incision, three port laparoscopic cholecystectomy is feasible, safe and with good aesthetic results using the same instruments of conventional laparoscopic cholecystectomy, without increasing operative time and compromis- ing safety. It could be recommended for routine laparoscopic cholecystectomy in place of conventional four port or three incision laparoscopic cholecystectomy.

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