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