International Surgery Journal | June 2019 | Vol 6 | Issue 6 Page 1 International Surgery Journal Gupta V et al. Int Surg J. 2019 Jun;6(6):xxx-xxx http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Safety and feasibility of three port procedure in laparoscopic cholecystectomy Vipin Gupta, Shailendra Pal Singh, Somendra Pal Singh, Anil Kumar Keshari*, Anil Kumar Erry, Poonam Gupta, Vikram Singh, Mayank Singh INTRODUCTION Gallstones are significant health problem worldwide, affecting 10% to 15% of adult population. 1 They are asymptomatic in majority of the cases. Approximately 1- 2% of asymptomatic patients will develop symptoms per year requiring surgery, making cholecystectomy one of the most common operations performed by surgeons. Laparoscopic cholecystectomy is one of the most commonly performed surgery in practice. 2 Prof. Dr. Erich Mühe of Böblingen, Germany, performed the first laparoscopic cholecystectomy on September 12, 1985. Today laparoscopic cholecystectomy is the gold standard procedure in gallstone diseases. 3-5 Standard laparoscopic cholecystectomy is done by using 4 ports. With increasing surgeon experience, laparoscopic cholecystectomy has undergone many refinements including reduction in port number and size. 6-9 The fourth port is used to retract the liver for better exposure of ABSTRACT Background: Laparoscopic cholecystectomy is widely accepted gold standard technique for management of cholelithiasis and has undergone many refinements including decrease in size and number of ports. Many researchers have claimed that three-port laparoscopic cholecystectomy is safe and feasible method for management of cholelithiasis but still it is not performed widely by the surgeons. Objective of our study was to assess the safety and feasibility of three-port laparoscopic cholecystectomy by comparing the various defined parameters with the standard four-port laparoscopic cholecystectomy. Methods: The study included 100 patients and was divided equally in 2 groups. Patients in Group A underwent laparoscopic cholecystectomy by three-port technique and in Group B were operated by four-port technique. Patients in both the groups were compared in terms of operative time, intra-operative complications, post-operative pain, post- operative complications and cosmesis outcome. Results: The mean operative time was similar in both groups. Intra-op and post-op complications were also similar. 3 patients in Group A needed fourth port and 1 patient in both group required conversion to open cholecystectomy. Mean pain score and requirement of parentral analgesia was found to be lower in Group A. Duration of hospital was similar in both the groups. Patients in group A had slightly better cosmetic outcome. Conclusions: Three-port laparoscopic cholecystectomy is a minimally invasive, safe and feasible technique and is not difficult to master than other advanced techniques. In experienced hands, laparoscopy cholecystectomy can be initially started with three-ports and can be converted to four-port if rarely necessary. Keywords: Laparoscopic cholecystectomy, Cholelithiasis, Three port cholecystectomy Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India Received: 08 April 2019 Revised: 20 April 2019 Accepted: 24 April 2019 *Correspondence: Dr. Anil Kumar Keshari, E-mail: akanilgoldi21@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20192063