The Comparison of Two-port Laparoscopic Cholecystectomy Technique and Standard Four-port Technique

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Tarih

2023

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Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: One of the purposes of laparoscopic surgery is being minimally invasive. In this context, we compared sling suture-assisted two-port techniques with the standard four-port technique in laparoscopic cholecystectomy. Materials and Methods: A retrospective clinical study was planned and 96 patients over 18 years of age with gallstone disease were recruited from Zeynep Kamil Women and Children’s Diseases Training and Research Hospital between November 2019 and June 2021. Two-port laparoscopic cholecystectomy was performed in 48 patients (Group 1) and standard four-port laparoscopic cholecystectomy (Group 2) in other 48 patients. The duration of surgery, postoperative pain, cosmetic appearance, analgesic use, complication rates, the duration of hospital stay, and return to work times were compared. Results: The largest stone diameter, sac wall thickness, number of attacks, and pain radiating to back (p=0.007, p=0.001, p=0.013, and p=0.010, respectively) were significantly higher in the Group 2 than in the Group 1. The operation time was significantly lower (p=0.026) in the Group 2. The Numerical Rating Scale was used to assess postoperative pain. Although the 3 rd day score was significantly higher (p=0.02) in the Group 2, no difference was found in the 3 rd week evaluation (p=0.115). In the Group 2, postoperative symptoms, non-steroidal anti-inflammatory drug use, duration of hospital stay, and time to return to work were significantly higher (p<0.001, p<0.001, p=0.034, and p<0.001, respectively). Conclusion: For standard four-port cholecystectomy, the two-port and two-suture assisted technique is a good alternative for selected cases. It can be applied successfully and is cosmetically effective.

Açıklama

Anahtar Kelimeler

Equipment, minimally invasive surgery, methods, Benign gallbladder disease, two port laparoscopic cholecystectomy

Kaynak

Comprehensive medicine

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Scopus Q Değeri

Cilt

15

Sayı

4

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