ELSEBAIE, S., ABDELAZIZ, H., MUSTAFA, A., ABDELAZIZ, A., ELSAYED, Y., ABDELHALIM, M. (2019). TWO PORTS VERSUS FOUR PORTS LAPAROSCOPIC CHOLECYSTECTOMY (THE USE OF STRATEGIC EXTRACORPOREAL STITCHES). test, 49(3), 707-712. doi: 10.21608/jesp.2019.68079
SAMEH ELSEBAIE; HESHAM ABDELAZIZ; AMR MUSTAFA; AHMED ABDELAZIZ; YASSER A. ELSAYED; MOHAMED ABDELHALIM. "TWO PORTS VERSUS FOUR PORTS LAPAROSCOPIC CHOLECYSTECTOMY (THE USE OF STRATEGIC EXTRACORPOREAL STITCHES)". test, 49, 3, 2019, 707-712. doi: 10.21608/jesp.2019.68079
ELSEBAIE, S., ABDELAZIZ, H., MUSTAFA, A., ABDELAZIZ, A., ELSAYED, Y., ABDELHALIM, M. (2019). 'TWO PORTS VERSUS FOUR PORTS LAPAROSCOPIC CHOLECYSTECTOMY (THE USE OF STRATEGIC EXTRACORPOREAL STITCHES)', test, 49(3), pp. 707-712. doi: 10.21608/jesp.2019.68079
ELSEBAIE, S., ABDELAZIZ, H., MUSTAFA, A., ABDELAZIZ, A., ELSAYED, Y., ABDELHALIM, M. TWO PORTS VERSUS FOUR PORTS LAPAROSCOPIC CHOLECYSTECTOMY (THE USE OF STRATEGIC EXTRACORPOREAL STITCHES). test, 2019; 49(3): 707-712. doi: 10.21608/jesp.2019.68079

TWO PORTS VERSUS FOUR PORTS LAPAROSCOPIC CHOLECYSTECTOMY (THE USE OF STRATEGIC EXTRACORPOREAL STITCHES)

Journal of the Egyptian Society of Parasitology
Article 25, Volume 49, Issue 3, December 2019, Pages 707-712    PDF (405.2 K)
Document Type: Original Article
DOI: 10.21608/jesp.2019.68079
Authors
SAMEH ELSEBAIE1; HESHAM ABDELAZIZ1; AMR MUSTAFA1; AHMED ABDELAZIZ1; YASSER A. ELSAYED2; MOHAMED ABDELHALIM1
1Department of General Surgery, Theodor Bilharz Research Institute Hospitals, Imbaba P. O. B. 30, Giza, Egypt.
2Military Medical Academy, Cairo 11291, Egypt.
Abstract
Four ports laparoscopic cholecystectomy (LC) has been the standard for treatment of the symptomatic cholelithiasis. Herein, the experience of two-ports LC regarding its safety and feasibility was given. This study was conducted in Theodor Bilharz Research Institute (TBRI) in the period from November 2017 till April 2018, as a prospective randomized study including one hundred patients with chronic calcular cholecystitis, which were divided into two equal groups. The study compared between group A (GA) which underwent four ports LC and group B (GB) which underwent two ports LC.
The results showed that in GA, no cases were converted to open cholecystectomy. But, in GB only two patients converted to three-port laparoscopic cholecystectomy. There were no intraoperative complications encountered in any patient in both groups. In GA, operative time ranged between 28-62 minutes (mean±44.57) while in GB, operative time ranged between 39-134 minutes (mean±59.93); with hospital stay of three days in both groups. The pain score showed statistically significant differences regarding port-site pain (P value = 0.040). Significant lower analgesic demands were recorded in the 2 ports group. Scar satisfaction showed a marked statistically significant differences regarding the aesthetic results between the two groups (P value = 0.0319).
Keywords
patients; Laparoscopic cholecystectomy; Two ports; Extra-corporeal stitches
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