Experience of Three-Port Cholecystectomy – A Case Series

Muhammad Rehman Gulzar; Muhammad Umar Farooq; Faiqa Aslam; Ijaz Tanveer Husnain; Fasih Ur Rehman; Shuja Tahir

doi:10.29054/apmc/2023.1307

Muhammad Rehman Gulzar Professor, Department of Surgery, DHQ Hospital / Faisalabad Medical University, Faisalabad Pakistan
Muhammad Umar Farooq Senior Registrar, Department of Surgery, DHQ Hospital, Faisalabad Pakistan
Faiqa Aslam Senior Registrar, Department of Surgery, DHQ Hospital, Faisalabad Pakistan
Ijaz Tanveer Husnain Senior Registrar, Department of Surgery, DHQ Hospital, Faisalabad Pakistan
Fasih Ur Rehman Senior Registrar, Department of Surgery, DHQ Hospital, Faisalabad Pakistan
Shuja Tahir Post Graduate Resident, Department of Surgery, DHQ Hospital, Faisalabad Pakistan

DOI: https://doi.org/10.29054/apmc/2023.1307

Keywords: Three port, Laparoscopic cholecystectomy, the severity of pain, Wound healing, cosmesis

Abstract

Background: Improvement of Laparoscopic Cholecystectomy (LC) technique in terms of reduction in size and number of ports is being tried to improve patient satisfaction and outcome. The present study was conducted to evaluate and compare the safety outcome and advantages of three-port and four-port LC. Objective: To determine the feasibility of three port cholecystectomy. Study Design: Descriptive prospective case series. Settings: Department of Surgery (Surgical Unit-V), DHQ Hospital, Faisalabad Pakistan. Duration: 1^st April 2018 to 31^st December 2018. Methods: Fifty patients of age 15 years or above who underwent laparoscopic cholecystectomy in the study period were enrolled. Preoperative workup performed. They underwent three-port cholecystectomy on an elective list by consultant surgeons. Post-operative outcome recorded on proforma and data was analyzed using SPSS. Results: A total of 50 patients underwent laparoscopic cholecystectomy procedure. 8 (16%) were males, and 42 (84%) were females. Age ranged from 15 to 75 years (mean 38.28 ± 10.546). Results were satisfactory in clinical outcomes like the severity of pain and cosmesis in wound healing. Conclusion: It seems that three-port LC is a safe and feasible technique with superior clinical outcomes.