LAPAROSCOPIC CHOLECYSTECTOMY

THREE PORT LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME OF MIDLINE, AN EXPERIENCE AT LIAQUAT UNIVERSITY HOSPITAL JAMSHORO

Abstract

With surgeon’s growing experience and advancement of technology laparoscopic
cholecystectomy has gone thru many modifications including reduction in number and size of
ports. Midline three port laparoscopic cholecystectomy is not performed extensively and is
technically possible. Aim of our study is to see outcome of midline three port laparoscopic
cholecystectomy. Study Design: Descriptive study. Period: January 2013 to December 2013.
Setting: Surgical unit I, Liaquat University Hospital Jamshoro. Materials and Methods: Midline
three port laparoscopic cholecystectomy was performed in 75 patients. Outcome of procedure
included patient’s safety, procedure’s duration, quantitative analgesic requirement, postoperative
pain assessed on 10cm visual analog scale after 24 hours, post-operative hospital
stay and post-operative complications. Results: Total of 75 patients underwent midline three
port LC with majority of females 84%. Mean age being43.62±6.85 years. Mean operative time
was 41.30±6.38 minutes. Mean post-operative pain assessed on visual analog scale after
24 hours was 2.5±0.45. Maximum site of tenderness was at 10mm subxiphisternal port. 47
patients (62.66%) tolerated post-operative pain on NSAID (injection diclofenac), while remaining
28 patients (37.33%) required additional opiate (injection Nalbuphine). Mean post-operative
hospital stay was 1.186 ±0.60 days. 1patient (1.33%) had port site infection. Conclusion:
Midline three port laparoscopic cholecystectomy prevents one extra scar of traditional 4port
laparoscopic cholecystectomy. This technique is safe, efficient and feasible. This technique
can be used as an alternative approach to traditional 4 port laparoscopic cholecystectomy in
uncomplicated cases.