A COMPARATIVE STUDY OF REDUCED PORT SIZE MINILAPAROSCOPIC CHOLECYSTECTOMY (MLC) VERSUS STANDARD FOUR PORT CONVENTIONAL LAPAROSCOPIC CHOLECYSTECTOMY (CLC).

2021 ◽  
pp. 19-21
Author(s):  
Anil Kumar Sharma ◽  
Lal Chand Jangid ◽  
Nagendra Singh Bhadauria ◽  
Amit Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Large Scale ◽  
Operative Time ◽  
Gall Stone ◽  
Laparoscopic Group ◽  
Controlled Study ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Early Return ◽  
Reduced Port

Background: Reduced port size mini-laparoscopic cholecystectomy (MLC) has widened the horizons of modern laparoscopic surgery. Standard four port conventional laparoscopic cholecystectomy (CLC), which has long been established as the “Gold Standard” for gall bladder diseases, is under reconsideration following the advent of further minimally-invasive procedures including MLC. Our study aims to provide a comparison between MLC and CLC and assesses whether MLC has any added benets. Materials And Methods: A prospective randomized controlled study of 46 patients of gall stone disease was conducted at J.L.N. Medical College, Ajmer. The patients assigned in to two groups (23 in each) group A [Reduced port size mini-laparoscopic cholecystectomy {MLC}] or group B [Standard four port conventional laparoscopic cholecystectomy {CLC}] through randomization. Data was collected prospectively and analysed retrospectively using a predesigned Performa. Results: In our study, both the groups had similar age, body mass index (BMI) and gender distribution. No cases of MLC required insertion of additional ports. The mean operative time for MLC was 63.74 ± 9.50, which is longer than CLC 44.91 ± 14.73. The pain was signicantly lower in mini laparoscopic group which is analysed on 0th ,2nd 7th and 28th post operatively. Patients who underwent MLC were able to return to normal activity earlier than patients undergoing CLC (P < 0.01). Conclusion: Our experience suggests that MLC can safely be used as an alternative to CLC. Compared to CLC, it has the added benet of an early return to work along with excellent cosmetic results. Intraoperative blood loss is comparable in both groups, however the operative time in MLC group higher than the CLC group. Further large scale trials are required to prove any additional benet of MLC

scholarly journals Comparison of laparoscopic cholecystectomy using harmonic scalpel with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones.

2020 ◽  
Vol 27 (10) ◽  
pp. 2050-2055
Author(s):  
Muhammad Asif ◽  
Muhammad Faheem Anwer ◽  
Muhammad Hasan Anwaar ◽  
Shahbaz Ahmad ◽  
Muhammad Kamran ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Blood Loss ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Conventional Group ◽  
P Value ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Symptomatic Gallstones ◽  
Group B

Objectives: To compare the laparoscopic cholecystectomy using harmonic scalpel with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones in terms of mean operative time and mean intra-operative blood loss. Study Design: Randomized Control trial. Setting: Department of Surgical at Allied Hospital Faisalabad. Period: 6 months Oct 2017 to Mar 2018. Material & Methods: Eighty (80) patients (forty in one group) divided randomly into A (harmonic scalpel group) and B (conventional) group, done under general anesthesia. Total time of operation and blood loss during procedure was noted. Results: Our study showed that mean operative time in Harmonic group (A) was 38.07+5.28 minutes and in Conventional group (B) 63.75+7.62 minutes, (p-value = 0.0001), blood loss in Harmonic group (A) 32.93+8.86ml and 55.53+8.96ml in Conventional group (B), (p-value = 0.0001). Conclusion: It is concluded that the laparoscopic cholecystectomy using harmonic scalpel is significantly better when compared with conventional laparoscopic cholecystectomy in patients of symptomatic gallstones in terms of mean operative time and mean intra-operative blood loss.

Frequency of Port Site Wound Infection with and Without End Gloves Techniques of Retrieval of Gallbladder in Pouch

2021 ◽  
Vol 15 (12) ◽  
pp. 3399-3401
Author(s):  
Naeem Ahmed ◽  
Maryum Saleem Raha ◽  
Uzma Shamim Seth ◽  
Mohammad Taha Kamal ◽  
Anum Nawazish Al ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wound Infection ◽  
General Surgery ◽  
Port Site ◽  
Medical Institute ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Group I ◽  
Significant Difference

Background: The gallbladder is a hollow organ that sits just beneath the right lobe of the liver. Chief functioning of gallbladder is to store gall, also known as bile that is required for digestion of food. Removing gallbladder through small incision in the abdomen is called laparoscopic cholecystectomy. Among benefits of cholecystectomy are decreased need for postoperative analgesia, decreased postoperative pain and shortened hospital stay from 1 week to less than 24 hours. Objective: To compare the frequency of port site wound infection with and without endogloves techniques of retrieval of gallbladder in pouch after laparoscopic cholecystectomy for chronic calculus cholecystitis. Design: It was a randomized controlled trial. Study Settings: This study was conducted at Department of General Surgery, Midland Doctors Medical Institute Tandali Muzaffarabad from July 2019 to July 2021 Material and Methods: A total of 260 cases who fulfilled inclusion criteria were enrolled in the study through wards of Department of General Surgery. Written informed consent was obtained from all the patients. Two groups were made by random division of patients. Conventional laparoscopic cholecystectomy was performed in patients of group I. Through umbilical port gall-bladder was retrieved in these patients, exactly spot on by a sterile surgical hand glove endobag. Vicryl “O” with J-shaped needle was used to close 10mm umbilical port (fascial defect) and 5mm ports were conventionally closed. In patients of group II, conventional laparoscopic cholecystectomy was performed and gall-bladder was retrieved as in patients of group I but without using surgical sterile hand glove endobag. Results: The mean age of the patients in study group was 48.09±15.402 years and in control group it was 47.51±16.48 years. Male to female ratio was 1.06:1. The post-op wound infection was found in 11 (4.23%) patients. Statistically significant difference was found in groups (P<0.05). Conclusion: The use of endoglove technique of retrieval of gallbladder in pouch after laparoscopic cholecystectomy for chronic calculus cholecystitis is safe, cheap, simple and potentially reduces significant port site wound infection compared to without endogloves. Keywords: Laparoscopic Cholecystectomy, Endoglove, Gallbladder (GB).

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