Abstract

Gallstone disease is a major public health issue. In most cases however, they do not cause symptoms and are detected incidentally on imaging. Patients with asymptomatic Gall stone disease can be observed but those with symptoms or with complications need cholecystectomy. Traditionally, Laparoscopic cholecystectomy is performed by 4 port technique. Recently several surgeons have been using more and more modified techniques to perform LC. The modifications may be either reduced port size, i.e. from 10 mm to 5 mm or from 5 mm to 3 or 2 mm or reduced port numbers. Aim and objective: To evaluate two port laparoscopic cholecystectomy vs three-port laparoscopic cholecystectomy in various aspects.- Ease and feasibility of the procedure, Operative Time, Intra-operative complications, Comparison of morbidity and pain, Cosmetic appearance, Post-operative hospital stay, Post-operative complicationsand Overall outcome. Material and methods: This prospective randomized study was conducted on 100 patients who were divided into group A and group B irrespective of their gender. Group A comprised 50 patients undergoing three-port laparoscopic cholecystectomy and Group B comprising 50 patients undergoing two port laparoscopic cholecystectomy. Conclusion: It was concluded from the present study that two-port laparoscopic cholecystectomy is safe and technically feasible and may further improve surgical outcomes in terms of reduced postoperative pain and better cosmetic outcome. However, it is technically difficult even in expert hands as evident by the statistically significant increased operative time. Hence this technique can be used for simple and uncomplicated cases of cholelithiasis as it is associated with better patient satisfaction.

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