Three Port Laparoscopic Cholecyctectomy

Burhan Mayir, Tuna Bilecik, Cemal Ozben Ensari, Erdem Can Yardimci, Mehmet Tahir Oruc. Antalya Education and Research Hospital.

Introduction
Most commonly performed laparoscopic surgery is laparoscopic cholecystectomy. Although cholecystectomy with three ports is not commonly preferred, researches have shown that it is a safe and feasible way of surgery.

Material-Method
We evaluate 100 patients that have undergone elective laparoscopic cholecystectomy with three ports (group one). These patients were compared with 50 patients that have undergone laparoscopic cholecystectomy with four ports (group two). Complications, lenght of stay in hospital, operation time, conversion to open surgery rate were compared in two groups.

Results
In group one, fourth port was required for nine (9%) patients. Duration of operation was in average 31 min in group one and 31,3 min in group two. Operation time, lenght of stay in hospital, complication rate, conversion to open surgery rate were similar in both groups..

Conclusions
Three port laparoscopic cholecystectomy is a safer method when performed by experienced surgeons. Laparoscopic cholecyctectomy can be tried with three ports firstly and can be continued with addition of fourth port if necessary

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