A COMPARISON BETWEEN STANDARD FOUR PORT AND THREE PORT LAPAROSCOPIC CHOLECYSTECTOMIES DONE AT A TERTIARY CARE CENTRE IN INDIA OVER ONE AND HALF YEAR: A CASE STUDY.
Abstract
A retrospective study was carried out in single unit of Department of general surgery. Here in this study we compared on 220 patients operated over one and half years( 1 st june ,2017to 31stdecember, 2018) at our hospital. The male: Female ratio was 1: 2.33.data was collected from in patient and out patient records post discharge and patients were followed up till 6 months post surgery. These patients were of symptomatic cholelithiasis and were divided into two groups namely A( 3 port) and B( 4 port). Intraoperatively, the groups were compared on basis of duration of surgery, conversion rates, iatrogenic gall bladder perforations and intraoperative complications. Post operatively the groups were compared on basis of visual assesment scale( VAS) for pain(which is measured on routine basis in all patients of laparoscopic cholecystectomy in our ward). post operative wound infections, cosmesis and duration of stay in the hospital. Overall we came to the inference that group A had better cosmesis , less pain and the duration of stay in Group A is 1.25 days as compared to 1.80 days in group B. Hence, three port laparoscopic cholecystectomy can be considered as a safe alternative to standard 4 port procedure. Only the duration of performing surgery in group A was comparatively more than group B( 1 hour 8min and 56 min respectively).
Key words: 3 port laparoscopic cholecystectomy, 4 port laparoscopic cholecystectomy,
