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Three-Port Versus Standard Four-Port Laparoscopic Cholecystectomy: a Randomized Controlled Clinical Trial in a Community-Based Teaching Hospital in Eastern Nepal by Manoj Kumar; Chandra Shekhar Agrawal; Rakesh Kumar Gupta is a Medicine article available to read on EtoBox.

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## Objectives: With increasing surgeon experience, laparoscopic cholecystectomy has undergone many refinements including reduction in port number and size. Three-port laparoscopic cholecystectomy has been reported to be safe and feasible in various clinical trials. However, whether it offers any additional advantages remains controversial. This study reports a randomized trial that compared the clinical outcomes of 3-port laparoscopic cholecystectomy versus conventional 4-port laparoscopic cholecystectomy. ## Methods: Seventy-five consecutive patients who underwent elective laparoscopic cholecystectomy were randomized to undergo either the 3-port or the 4-port technique. Four surgical tapes were applied to standard 4-port sites in both groups at the end of the operation. All dressings were kept intact until the first follow-up 1 week after surgery. Postoperative pain at the 4 sites was assessed on the first day after surgery by using a 10-cm unscaled visual analog scale (VAS). Other outcome measures included analgesia requirements, length of the operation, postoperative stay, and patient satisfaction score on surgery and scars. ## Results: Demographic data were comparable for both

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Author

Manoj Kumar; Chandra Shekhar Agrawal; Rakesh Kumar Gupta

Publisher

Society of Laparoendoscopic Surgeons; The Society of Laparoendoscopic Surgeons; [Miami FL]: [Society of Laparoendoscopic Surgeons Inc.], [1997-]; The Society of Laparoscopic and Robotic Surgeons (ISSN 1086-8089)

Published

2007

Field

Medicine (Health Sciences)