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KMID : 0978820080110020120
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2008 Volume.11 No. 2 p.120 ~ p.124
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The Clinical Usefulness of the Three-port Method for Performing Laparoscopic Cholecystectomy
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Kim Jin-Seop
Jung So-Young
Jung Jae-Pil
Cho Ji-Woong
Kim Byung-Chun
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Abstract
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Purpose: Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic cholelithiasis and acute cholecystitis. There are various methods that are frequently performed depending on the surgeon’s preference: the three-port, four-port or two-port methods. In this study, we compared the clinical characteristics of the three-port method and those of the four-port method, and we estimate the usefulness of the three-port method.
Methods: We reviewed the medical record of 346 patients who underwent laparoscopic cholecystectomy with the three-port method (n=255) or the four-port method (n=91) from January 2002 to October 2006. We compared many variables between the two methods.
Results: There was no statistical difference between the three and four-port groups in terms of the operation time, the conversion rate, the length of the postoperative hospital stay and the postoperative complications. Yet the patients who underwent the three-port method required less additional injections of analgesia than those patients who underwent the four-port method (p=0.025).
Conclusion: The three-port method is as safe as the standard four-port method when the former is performed by expert hands. The procedure also offers considerable advantages over the traditional four-port method for reducing the analgesia requirement and achieveing cosmetic advantages.
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KEYWORD
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Laparoscopic cholecystectomy, Three-port method, Four-port method
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