A COMPARATIVE STUDY OF TWO-PORT VERSUS THREE-PORT LAPAROSCOPIC APPENDICECTOMY IN UNCOMPLICATED CASES OF APPENDICITIS AT TERTIARY CENTRE

Abstract

Background and objectives: Nowadays, minimally invasive surgery is the recommended course of care. In this study, we have attempted to reduce minimal access by eliminating one port during a laparoscopic appendicectomy. We have also compared the safety, effectiveness, length of surgery, complications before and after the procedure, and length of hospital stay between two and three port laparoscopic appendicectomy procedures. Materials and Methods: A prospective comparative randomized clinical study was
conducted in Navodaya Medical College Hospital and Research Centre, Raichur. A total of 100 patients who were clinically and sonographically diagnosed with appendicitis were included in the study. Equal patients were operated via two-port laparoscopic surgery (group 1=50) and three-port laparoscopic surgery (group 2=50)
Results: In our study, mean hospital stay among group 1 patients was 1.76±0.716 days and among group 2 patients was 4.82±1.063 days. The mean days of return to work among group 1 patients were 9.60±3.251 days and among group 2 patients was 13.54±2.93 days. This difference was statistically highly significant when t-test was applied (p<0.001). There was no difference in mean duration of surgery between two groups (p>0.05)m

Conclusion: In terms of hospital stay and return to work, two-port laparoscopic appendectomy was superior to three-port laparoscopic appendectomy in a patient who was well prepared and chosen.