ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS
Nafeh, A., Abbas, M., Youssef, Y., Helmy, A. (2005). ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS. EKB Journal Management System, 24(2), 95-99. doi: 10.21608/ejsur.2005.373151
A I Nafeh; M Abbas; Y F Youssef; A H I Helmy. "ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS". EKB Journal Management System, 24, 2, 2005, 95-99. doi: 10.21608/ejsur.2005.373151
Nafeh, A., Abbas, M., Youssef, Y., Helmy, A. (2005). 'ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS', EKB Journal Management System, 24(2), pp. 95-99. doi: 10.21608/ejsur.2005.373151
Nafeh, A., Abbas, M., Youssef, Y., Helmy, A. ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS. EKB Journal Management System, 2005; 24(2): 95-99. doi: 10.21608/ejsur.2005.373151

ONE SURGEON SHOW LAPAROSCOPIC CHOLECYSTECTOMY THROUGH THREE PORTS

The Egyptian Journal of Surgery
Volume 24, Issue 2, April 2005, Page 95-99  XML PDF (193.89 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2005.373151
View on SCiNiTO View on SCiNiTO
Authors
A I Nafeh* 1; M Abbas2; Y F Youssef2; A H I Helmyorcid 2
1Departments of General Surgery Theodor Bilharz Research Institute, Giza, EGYPT
2Departments of General Surgery Theodor Bilharz Research Institute, Giza, EGYPT.
Abstract
Aim: The well known advantages of the standard laparoscopic cholecystectomy are attributed to the small four port incisions with less surgical trauma than open surgery. Accordingly, reduction of the number of ports may be proposed to maximize the advantages of laparoscopic cholecystectomy. The aim of this work was to try the feasibility of the three port laparoscopic cholecystectomy and to evaluate if there is a potential advantage over the standard 4 port technique. 
Materials and Methods: This study included 60 cases divided into 2 equal groups. Patients in the first group (GI) were subjected to standard four port cholecystectomy, while in the second group (GII) the operations were done through three ports. Operations in GII were carried out by one surgeon using 2 handed techniques and a camera man technician. 
Results: Omitting of the fourth port in GII did not affect the operative field. In GII, only 2 cases needed a fourth port and the conversion rate to open surgery was 3.3% as similar as in GI.The post operative pain was indicated by the number of intramuscular NSAI analgesic injections which was significantly higher in GI (1.3±0.7) than in GII (0.9±0.6) with p < 0.05.There was no mortality or significant morbidities in both groups. 
Conclusion: Laparoscopic cholecystectomy through three ports is a feasible and safe technique. It gives more satisfactory results to the patients, particularly those with cosmetic wise concept.
Keywords
laparoscopic surgery; cholecystectomy; three port technique
Statistics
Article View: 47
PDF Download: 31