ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences/ Volume 2/ Issue 43/ October 28, 2013 Page 8290 THREE PORT LAPAROSCOPIC CHOLECYSTECTOMY IN TERTIARY CARE HOSPITAL OF CENTRAL INDIA - AN AUDIT OF 200 PATIENTS Krishnanand 1 , Roshan Chanchlani 2 , Madhu Chanchlani 3 HOW TO CITE THIS ARTICLE: Krishnanand, Roshan Chanchlani, Madhu Chanchlani. “Three port laparoscopic cholecystectomy in tertiary care hospital of central India - an audit of 200 patients”. Journal of Evolution of Medical and Dental Sciences 2013; Vol. 2, Issue 43, October 28; Page: 8290-8296. ABSTRACT: BACKGROUND: Since 1990 laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stones disease. The aim of this study was to evaluate the results of three port laparoscopic cholecystectomy in symptomatic patients with gall stones in terms of conversion rate, length of hospital stay, post operative complications, morbidity and mortality. METHODOLOGY: The retrospective study was carried out in Department of Surgery at Chirayu Medical College and Hospital, Bhopal. All the patients who underwent laparoscopic cholecystectomy in the department of surgery from (May2011- April 2013) were reviewed from department records. Patients with co morbidities, altered Liver function test and obstructive jaundice were excluded from the study. Demographics with patient details, conversion to open, complications of anaesthesia and surgery were reviewed from clinical notes, and department register. Data was analysed using SPSS-18 and results were compared with international studies. RESULTS: Out of 200 patients174 were females (87%) and 26(13%) males. The mean age of patients was 40.47±12yrs, the youngest patient was10 yrs old and oldest patient was 80 yr old. Mean operative time was 50min±11.16 min. The conversion rate in our series was 6(3.0%) cases; Port site wound infection was seen in 6 (3%) patients. There was no bile duct injury, major haemorrhage or bowel injury necessitating opening surgery. On follow up no patient had post operative abdominal abscess, port site hernia or post operative bile duct stricture, there was no mortality in our study. CONCLUSION: Laparoscopic cholecystectomy with three ports is effective & safe modality to treat gall stones. Good training careful case selection, initial learning curve, meticulous technique, well trained team and high standard equipments are of paramount importance to ensure good results. KEY WORDS: Bile duct injury, Cystic duct leak, galls stones, three port laparoscopic cholecystectomy. INTRODUCTION: The gold standard treatment for symptomatic gall stone is Laparoscopic Cholecystectomy since 1990. 1,2 The main advantage of three port Laparoscopic Cholecystectomy is less post operative pain, shorter hospital stay, less intra-abdominal adhesions, quick return to work, decrease postoperative complications and better cosmetic outcome. 3 The study was performed to evaluate the efficacy of three port Laparoscopic Cholecystectomy in context to its complications, morbidity and mortality. MATERIAL AND METHOD: This retrospective study was carried out in the department of Surgery, CMCH, Bhopal, after approval by ethical committee. Operative and clinical records of all patients who underwent Laparoscopic Cholecystectomy over 2 years from (May2011- April 2013) were reviewed. All patients of gall stone disease were admitted through outpatient department. Detailed history, clinical examination and investigations such as Complete Blood Count, ESR, Blood sugar, Blood Urea,