Assessing the Effectiveness of Two-Port vs. Three-Port Laparoscopic Cholecystectomy

Abstract

Traditionally, laparoscopic cholecystectomy (LC) involves the use of three or four ports of different sizes. Given the significance of cosmetic outcomes in LC, the current trend leans toward reducing the number of ports, ultimately leading to improved cosmetic results for patients. This study’s objective was to assess and compare the efficacy of the three-port LC technique with the two-port LC technique, in order to determine if one approach offers any advantages over the other. Material and methods: This study was carried out within the Department of General Surgery. It was designed as a prospective comparative study. In Group A, an odd number of patients underwent surgery using the three-port technique, while in Group B, an even number of patients underwent surgery with the two-port technique. Material and methods: The study enrolled a total of fifty patients who were experiencing symptoms related to gallstone disease. Prior to participation, informed consent was obtained from each of these patients. All the surgical procedures were conducted while the patients were under general anesthesia.Results: Out of the total patients, 41 were female, and 9 were male. The average age of the patients was 38.67 years. Group A had a shorter operative time, whereas Group B experienced less postoperative pain. Additionally, Group B exhibited superior cosmetic outcomes, with patients expressing higher satisfaction regarding the appearance of their scars. Conclusion: Patients generally seemed to favor the two-port method, largely owing to the lower pain scores and overall comfort it offered.