10-mm versus 5-mm umbilical port in laparoscopic cholecystectomy: A comparative study in a medical college in Eastern India

Authors

  • Subhadip Sarkar Assistant Professor, Department of Surgery, Employees State Insurance Corporation and Post Graduate Institute of Medical Sciences and Research, Kolkata, West Bengal, India https://orcid.org/0000-0001-6979-5700
  • Biswarup Bose Associate Professor, Department of Surgery, Employees State Insurance Corporation and Post Graduate Institute of Medical Sciences and Research, Kolkata, West Bengal, India https://orcid.org/0000-0002-0639-5205
  • Banyeswar Pal Associate Professor, Department of Surgery, Employees State Insurance Corporation and Post Graduate Institute of Medical Sciences and Research, Kolkata, West Bengal, India https://orcid.org/0000-0002-0098-1465

DOI:

https://doi.org/10.3126/ajms.v13i8.44264

Keywords:

Cholecystectomy; Laparoscopic; Port

Abstract

Background: Laparoscopic cholecystectomy (LC) the most common laparoscopic surgery performed worldwide. The surgical technique of LC has undergone many modifications; in respect to reduction of port sizes or number of ports. Conventionally, 10-mm 30° laparoscope is being used but, 5-mm 30° laparoscopes through 5-mm umbilical port (modified LC) are also being utilized by many surgeons worldwide.

Aims and Objectives: The aims of this study were to compare the outcome of conventional LC with modified LC, in terms of feasibility, safety, and efficacy.

Materials and Methods: This prospective randomized study was carried out in the Department of Surgery, ESIC-PGIMSR, Joka during June 2017–December 2018. One hundred and fifty patients of diagnosed symptomatic gall stone disease were randomly allocated into two study groups. Group-I contained 75 patients, who underwent LC by conventional method whereas, and 75 patients in Group-II underwent LC by modified method. Follow-up was done at 6 weeks, 6 months, and 1 year after surgery. Data were analyzed by appropriate statistical tests.

Results: The mean operating time and mean pain score over umbilical wound were found to be statistically significant. However, no significant differences were obtained in terms of average hospital stay, post-surgical complications such as post-site bleeding, cystic artery bleeding, biliary spillage, and wound infection. Only one patient in the 10-mm umbilical port group, having body mass index of 31 developed umbilical port-site hernia. Regarding wound cosmesis, no significant difference was obtained.

Conclusion: Performing LC with a 5-mm 30° laparoscope through 5-mm umbilical port is a safe and feasible option for laparoscopic surgeons.

Downloads

Download data is not yet available.
Abstract
133
PDF
206

Downloads

Published

2022-08-01

How to Cite

Subhadip Sarkar, Biswarup Bose, & Banyeswar Pal. (2022). 10-mm versus 5-mm umbilical port in laparoscopic cholecystectomy: A comparative study in a medical college in Eastern India. Asian Journal of Medical Sciences, 13(8), 220–225. https://doi.org/10.3126/ajms.v13i8.44264

Issue

Vol. 13 No. 8 (2022)

Section

Original Articles

License

Copyright (c) 2022 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).