BACKGROUND/AIMS: Since the first successful laparoscopic cholecystectomy with the establishment of pneumoperitoneum in France by Mouret in 1987, it has become the golden standard for cholecystectomy. Generally techniques with four trocars have been used with surgeons but some of them prefer 3-trocar techniques. Our aim is to compare the clinical outcomes of three- and four-port techniques prospectively. METHODOLOGY:Between 1998 and 2003, one hundred and forty-six consecutive patients who underwentelective laparoscopic cholecystectomyfor cholelithiasis in the Medical Faculty of Suleyman Demirel University were randomized to receive either the three-port or the four-port technique. Operative time, (time from the beginning of the insufflation up to the closure of the skin), success rate, visual analogue pain score, analgesia requirements, postoperative hospital stay were compared. RESULTS: No differences between the two groups could be found. CONCLUSIONS: Three-port technique is safe, effective, and economic but does not reduce the overall pain score and analgesia requirement.
RCT Entities:
BACKGROUND/AIMS: Since the first successful laparoscopic cholecystectomy with the establishment of pneumoperitoneum in France by Mouret in 1987, it has become the golden standard for cholecystectomy. Generally techniques with four trocars have been used with surgeons but some of them prefer 3-trocar techniques. Our aim is to compare the clinical outcomes of three- and four-port techniques prospectively. METHODOLOGY: Between 1998 and 2003, one hundred and forty-six consecutive patients who underwent elective laparoscopic cholecystectomy for cholelithiasis in the Medical Faculty of Suleyman Demirel University were randomized to receive either the three-port or the four-port technique. Operative time, (time from the beginning of the insufflation up to the closure of the skin), success rate, visual analogue pain score, analgesia requirements, postoperative hospital stay were compared. RESULTS: No differences between the two groups could be found. CONCLUSIONS: Three-port technique is safe, effective, and economic but does not reduce the overall pain score and analgesia requirement.
Authors: Muhammad S Sajid; Nikhil Ladwa; Lorain Kalra; Kristian K Hutson; Krishna K Singh; Mazin Sayegh Journal: World J Surg Date: 2012-11 Impact factor: 3.352
Authors: A Ciftci; M B Yazicioglu; C Tiryaki; H T Turgut; O Subasi; M Ilgoz; O Civil; S Y Yildiz Journal: Ir J Med Sci Date: 2016-08-31 Impact factor: 1.568
Authors: Burhan Mayir; Ugur Dogan; Umit Koc; Arif Aslaner; Tuna Bılecık; Cemal Ozben Ensarı; Tugrul Cakir; Mehmet Tahir Oruc Journal: Int J Clin Exp Med Date: 2014-08-15
Authors: A Agrusa; G Romano; G Cucinella; G Cocorullo; S Bonventre; G Salamone; G Di Buono; G De Vita; G Frazzetta; D Chianetta; V Sorce; G Bellanca; G Gulotta Journal: G Chir Date: 2013 Sep-Oct