Journal of Minimal Access Surgery

ORIGINAL ARTICLE
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Year : 2014  |  Volume : 10  |  Issue : 4  |  Page : 190--196

Two-port mini laparoscopic cholecystectomy compared to standard four-port laparoscopic cholecystectomy

Sreenivas S, Ravindra Singh Mohil, Gulshan Jit Singh, Jainendra K Arora, Vipul Kandwal, Jitendra Chouhan 
 Department of Surgery, V. M. Medical College and Safdarjang Hospital, New Delhi, India

Correspondence Address:
Sreenivas S
C-65, East Kidwai Nagar, New Delhi - 110 023
India

Introduction: Two-port mini laparoscopic cholecystectomy (LC) has been proposed as a safe and feasible technique. However, there are limited studies to evaluate the effectiveness of the procedure. This study is a prospective randomised trial to compare the standard four-port LC with two-port mini LC. Materials and Methods: A total of 116 consecutive patients undergoing LC were randomised to four-port/two-port mini LC. In two-port mini LC, a 10-mm umbilical and a 5-mm epigastric port were used. Outcomes measured were duration and difficulty of operation, post-operative pain, analgesia requirements, post-operative stay, complications and cosmetic score at 30 days. Results: Out of 116 patients, the ratio of M:F was 11:92, with mean age 40.79 ± 12.6 years. Twelve patients (nine in four-port group and three in two-port group) were lost to follow-up. The mean operative time were similar (P = 0.727). Post-operative pain was significantly low in the two-port group at up to 24 hrs (P = 0.023). The overall analgesia requirements (P = 0.003) and return to daily activity (P = 0.00) were significantly lower in two-port group. The cosmesis score of the two-port group was better than four-port group (P = 0.00). However, the length of hospital stay (P = 0.760) and complications (P = 0.247) were similar between the two groups. Conclusion: Two-port mini LC resulted in reduced pain, need for analgesia, and improved cosmesis without increasing the operative time and complication rates compared to that in four-port LC. Thus, it can be recommended in selected patients.


How to cite this article:
Sreenivas, Mohil RS, Singh GJ, Arora JK, Kandwal V, Chouhan J. Two-port mini laparoscopic cholecystectomy compared to standard four-port laparoscopic cholecystectomy .J Min Access Surg 2014;10:190-196


How to cite this URL:
Sreenivas, Mohil RS, Singh GJ, Arora JK, Kandwal V, Chouhan J. Two-port mini laparoscopic cholecystectomy compared to standard four-port laparoscopic cholecystectomy . J Min Access Surg [serial online] 2014 [cited 2020 Aug 4 ];10:190-196
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=4;spage=190;epage=196;aulast=S;type=0