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.

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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

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Copyright (c) 2022 Asian Journal of Medical Sciences

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