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KMID : 0978820030060010022
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2003 Volume.6 No. 1 p.22 ~ p.27
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A Comparison between Three-Port and Four-Port Technique in the Laparoscopic Cholecystectomy
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Lee Jae-Hoon
Seol Jae-Wook
Jeon Chang-Won
Lee Yong-Jik
Ko Soo-Jong
Yang Yun-Soo
Lee Young-Taek
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Abstract
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Purpose: Laparoscopic cholecystectomy has been the standard treatment of benign gallbladder disease due to its minimal invasiveness. Usual laparoscopic cholecystectomy requires four ports but some surgeons perform laparoscopic cholecystectomy through 3 ports. In this study, we tried to estimate usefulness of three-ports technique.
Methods: Clinical reviews were made from medical records of 248 patients who had been treated by laparoscopic cholecystectomy at St. Benedict hospital from July 1991 to December 2001 retrospectively.
Results: Three-port technique was performed in 70 patients and four-port technique in 178 patients. Both procedures were more performed in female. Mean operative time was 98 minutes in three-port technique and 111 minutes in four-port technique (p=0.294). Mean hospital stay was 5.5 days in three-port technique and 4.9 days in four-port technique (p=0.003). Rates of conversion to open surgery were 9% in 3 port technique and 2% in 4 port technique respectively.
Conclusion: Three port technique is the recommendable procedure to an experienced laparoscopic surgeon becuse of its cost-effectiveness and cosmetic result. When surgeon faces to surgical difficulties or problem, the 4th trocar should be added without any hesitance.
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KEYWORD
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Laparoscopic cholecystectomy, Three-port technique, Four-port technique
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