Three-port vs Four-port Laparoscopic Cholecystectomy
Author Information
Author(s): Al-Azawi Dhafir, Houssein Nariman, Rayis Abu Bakir, McMahon Donal, Hehir Dermot J
Primary Institution: Royal College of Surgeons in Ireland
Hypothesis
Is the three-port laparoscopic cholecystectomy as safe and effective as the four-port technique for treating acute and chronic cholecystitis?
Conclusion
Three-port laparoscopic cholecystectomy is a safe procedure that reduces analgesia requirements and length of hospital stay compared to the four-port technique.
Supporting Evidence
- Three-port laparoscopic cholecystectomy required less pethidine than the four-port technique.
- The average hospital stay was shorter for the three-port group (2.8 days) compared to the four-port group (3.7 days).
- There were no significant differences in complications between the two techniques.
Takeaway
Doctors can use fewer holes in the tummy to remove the gallbladder, which means less pain and a shorter hospital stay for patients.
Methodology
The study reviewed medical records of 495 patients who underwent laparoscopic cholecystectomy, comparing outcomes between three-port and four-port techniques.
Potential Biases
Potential bias due to the non-randomized nature of the study and reliance on medical records.
Limitations
The study is a retrospective review and may have biases related to patient selection and data collection.
Participant Demographics
399 females and 96 males, age range 16–83 years, mean age 50 years.
Statistical Information
P-Value
0.0001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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