Abstract

To assess the efficacy of three-Port Versus Standard Four-Port Laparoscopic Cholecystectomy. Materials & methods: 60 patients who were scheduled to undergo elective laparoscopic cholecystectomy were randomized to undergo either the 3-port or the 4-port technique. Complete demographic and clinical details of all the patients was obtained. All the procedures were carried out under ideal septic conditions. Follow-up was done. Assessment of postoperative pain was done using a 10-cm unscaled visual analogue scale (VAS). Clinical outcome was recorded and compared. All the results were recorded and analysed using SPSS software. Results: Mean operative time among the patients of three-port group and four-port group was 53.6 minutes and 66.7 minutes respectively; on comparing the results were found to be statistically significant. Mean days of postoperative analgesic requirement was significantly higher among patients of four-port group in comparison to three-port group. Mean VAS among patients of three-port and four-port group was 2.6 and 2.9 respectively. Among the patients of three-port and four-port group was 93.33 percent and 90 percent respectively. Conclusion: Three-port laparoscopic cholecystectomy was associated with lesser pain and similar clinical outcomes in comparison to four-port technique

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