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Two-port versus four-port laparoscopic cholecystectomy
C M Poon1, K W Chan, D W H Lee
1Department of Surgery, North District Hospital, Sheung Shui, N. T., Hong Kong SAR, China.
Surgical Endoscopy
|July 23, 2003
Summary
Two-port cholecystectomy offers reduced operative time and less pain compared to the standard four-port method. This minimally invasive technique provides similar clinical outcomes with fewer scars, making it a recommended option for elective gallbladder removal.
Area of Science:
- Minimally invasive surgery
- Surgical outcomes research
- Gastrointestinal surgery
Background:
- Two-port laparoscopic cholecystectomy is a minimally invasive technique.
- Its advantages over conventional four-port laparoscopic cholecystectomy are debated.
- This study aimed to compare their clinical outcomes.
Purpose of the Study:
- To compare the clinical outcomes of two-port versus four-port laparoscopic cholecystectomy.
- To evaluate postoperative pain, operative time, and patient satisfaction.
- To assess the feasibility and benefits of the two-port approach.
Main Methods:
- A randomized trial involving 120 patients undergoing elective laparoscopic cholecystectomy.
- Patients were assigned to either the two-port or four-port technique.
- Postoperative pain (VAS), analgesia needs, operative duration, hospital stay, and patient satisfaction were assessed.
Main Results:
- The two-port group demonstrated a shorter mean operative time (54.6 vs 66.9 minutes).
- Significantly less pain was reported at individual subcostal port sites in the two-port group.
- Overall pain, analgesia requirements, hospital stay, and patient satisfaction were comparable between groups.
Conclusions:
- Two-port laparoscopic cholecystectomy leads to reduced individual port-site pain and fewer scars.
- It achieves similar clinical outcomes to the four-port technique.
- The two-port approach is recommended for routine elective laparoscopic cholecystectomy.