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Comparative Study Between Single Port vs Four Port Laparoscopic Cholecystectomy

Jyothi J , Rohit Devani1 , Jyothi J2 , Chetan C Padashetty3

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New Indian Journal of Surgery 11(4):p 557-560, October-December 2020. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11420.18

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Rohit Devani, Jyothi J, Chetan C Padashetty. Comparative Study Between Single Port vs Four Port Laparoscopic Cholecystectomy. New Indian J Surg. 2020;11(4):557–560.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

 Background: Gallstone disease is one of the most common problems affecting the digestive tract. The prevalence of gallstone varies widely in different parts of the world, in India it is estimated to be around 4%. Earlier Open cholecystectomy was treatment of choice but with the advent of minimal invasive surgery laparoscopic cholecystectomy evolved and further evolution now single incision laparoscopic surgery for cholecystectomy has become routine approach for better cosmoses. Materials and Methods: It’s a randomized controlled trial .The main source of data for study are patients admitted in Basaveshwara Teaching and General Hospital attached to Mahadevappa Rampurae Medical College, Kalaburagi surgery department undergo Laparoscopic cholecystectomy during period of July 2018 – July 2020. Details of cases are recorded including history, clinical examination, and investigations and following parameters of each patient will be recorded preoperatively and compared with intraoperative findings. And postsurgical outcome will be studied for each SILS and Conventional laparoscopic cholecystectomy. Results: This study included a total of 65 patients who were planned to undergo laparoscopic. Cholecystectomy out of which 45 patients were in convential four port and 20 patients in single port. The time taken for surgery was more in single port i.e 129.0 min with conventinal four port is 64.4 min and complications was more single port is 20.0% than conventional four port is 15.6%.post-operative complication seen in conventional four port were fever (n=2, 4.4%), pain (n=4, 8.9%), pain and fever (n=1, 2.2%) and in single port were fever (n=3, 15.0%), pain (n=2, 10.0%), biliary leak (n=1, 5.0%). In our study mean length of hospital stay in conventinal four port is 4.2 min and in single port is 7.1 .ports is significantly associated with length of hospital stay. Conclusion: From this study we conclude Single Incision Laparoscopic Cholecystectomy is an emerging technique and has better cosmesis and needs expertised hands and lot of learning curve to perform it when compared with Conventional Four port Laparoscopic Cholecystectomy.

Keywords: Single Port; Four Port; Cholecystectomy Laparoscopic

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Cite this article

Rohit Devani, Jyothi J, Chetan C Padashetty. Comparative Study Between Single Port vs Four Port Laparoscopic Cholecystectomy. New Indian J Surg. 2020;11(4):557–560.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11420.18

Keywords

Single Port; Four Port; Cholecystectomy Laparoscopic.

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