Three-port microlaparoscopic cholecystectomy in 159 patients

Surgical Endoscopy
P L LeggettC Ahn

Abstract

Laparoscopic cholecystectomy has undergone many refinements including reductions in port size and number. This study attempts to determine whether further reduction in port size from that previously reported by us can reduce postoperative pain without compromising the efficacy of the surgery. In this study, 159 patients underwent laparoscopic cholecystectomy with three ports: one 5-mm umbilical port, one 3-mm subxiphoid port, and one 3-mm port in the right subcostal position. Data were collected prospectively for each patient on the duration of analgesic use, quantity of analgesic tablets consumed, postoperative pain, most painful incision, and days of recovery required before return to activity and work. These measures were compared with those collected from a group of 100 patients who had undergone laparoscopic cholecystectomy with three 5-mm ports in a previous study. Patients in the current study group required analgesics for a longer duration (4 vs 2.9 days; p = 0.001), used more analgesic tablets (10.7 vs 8.1; p = 0.007), and reported greater postoperative discomfort (5 vs 4.1; p = 0.016) as compared with all in the 5-mm port group. The 3-mm port group needed more days for recovery before leaving the house (2.9 vs 2.7; p ...Continue Reading

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Citations

Aug 19, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ninh T NguyenSamuel E Wilson
Feb 22, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Denise McCormackKeith Zuccala
Jan 25, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zoran CalaIvo Soldo
Jul 24, 2014·International Journal of Surgery·Sang Chul LeeSay-June Kim
Jun 7, 2011·Journal of Minimally Invasive Gynecology·Fabio GhezziPierfrancesco Bolis
Nov 3, 2010·Journal of the American College of Surgeons·Jason M PflukeC Daniel Smith
Oct 6, 2010·Advances in Surgery·Anthony Y Tsai, Don J Selzer
Aug 14, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Li-Yun ChouWen-Chun Chang
Aug 24, 2010·Journal of Minimally Invasive Gynecology·Daniela SuricoNicola Surico
Apr 28, 2010·Journal of the American College of Surgeons·James K Elsey, David V Feliciano
Dec 13, 2005·Journal of Minimally Invasive Gynecology·Fabio GhezziPierfrancesco Bolis
Nov 21, 2012·International Journal of Surgery·Mushtaq ChalkooSikender Iqbal
Jun 3, 2016·Journal of Minimal Access Surgery·Ranendra Hajong, Peter Ds Khariong

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