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Background and Objectives :Modified three – port laparoscopic cholecystectomy is safe and economical. It was another choice of surgery. This study aims to compare between modified three – port laparoscopic cholecystectomy and standard four – port cholecystectomy.
Materials and Methods : Non – randomized clinical trial at Department of surgery , Kalasin hospital. Sixty patients with symptomatic gall stone, who were admitted at the hospital during January 2004 to December 2006 were operated. These patients were divided into two groups equally . Group I patients were operated by modified three port laparoscopic cholecystectomy . Group II patients were operated by standard four – port laparoscopic cholecystectomy. Both groups were operated by the same surgeon. The operation time , postoperative pain , lenght of hospital stay, postoperative complication and hospital cost were analysed.
Results : Thirty patients in group 1 were 10 males and 20 females at 27- 77 year of age (average 51.2 ± 13.1 year). The body weights were 45 – 82 kilograms average 66.5 ± 8.7 kilograms. There were 1 patient who had DM and 1 patient had hypertension and one patient with both diseases. Group II consisted of 9 males and 21 females at 20 – 76 year of age (average 50.3 ± 12.8 years). Their body weight were 44-84 kilograms (average 64.8 ± 7.7 kilograms). There was 1 patient who had DM, one patient had Hypertension and one case with both diseases. There were no differentce in operating time, hospital stay and postoperative complication (p>0.05). In group I post operative pain and hospital cost were less than Group II significantly (p < 0.05)
Conclusion : Modified three - port laparoscopic cholecystectomy was as safe as the standard four port laparoscopic cholecystectomy and it caused less pain and less expensive .
Key word : standard four port, laparoscopic cholecystectomy : modified three port, laparoscopic cholecystectomy , cost, post operative pain
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