A medical school experience with three port laparoscopic cholecystectomy with a new modification in technique

Chalkoo, Mushtaq; Ahangar, Shahnawaz; Patloo, Aasim Mushtaq; Matoo, Adnan Rashid; Baqal, Faud Sadiq; Iqbal, Sikender

doi:10.1016/j.ijsu.2012.11.005

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…16 Chalkoo et al tried different port sites in three-port approach as we do in our study and received good results and patient satisfaction. 17 We believe that such studies will increase in near future.…”

Section: Discussionmentioning

confidence: 92%

Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Akoğlu¹,

Bostancı²,

Çolakoğlu³

et al. 2017

The American Surgeon™

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Laparoscopic cholecystectomy (LC) is seen as a gateway to minimally invasive surgery. We defined a new three-port technique with different port sites and compared the postoperative results with traditional four-port LC procedure in a case-match study. Between June 2012 and May 2013, 104 consecutive patients underwent three-port LC by same experienced surgeon. In the same center, 2963 consecutive patients underwent four-port LC, and of these 2963 patients, a matched group of 104 patients was selected. Data included patient age, gender, body mass index, American Society of Anesthesiologists score, history of abdominal operations, intraoperative data about operating time and conversion to open surgery, and postoperative data about length of hospital stay and postoperative complications were recorded prospectively. We concluded that our new three-port technique with different port sites is as feasible and safe as traditional four-port technique.

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Section: Discussionmentioning

confidence: 92%

Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Akoğlu¹,

Bostancı²,

Çolakoğlu³

et al. 2017

The American Surgeon™

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“…SILS and Natural Orifice Transluminal Endoscopic Surgery (NOTEs) also had superior cosmetic outcome 7 . But they requires special instruments, port 6 . Whereas modified 3 port LC can be done by conventional LC instruments.…”

Section: Resultsmentioning

confidence: 99%

“…4,5 In two port technique multiple stitches were taken through gallbladder for retraction, which may increase the possibility of infection to the parieties and also increase the chance of in advent spillage of stones during cholecystectomy. 6 In Single Incision Laparoscopic Surgery (SILS) as there is a large single fascial defect, which may increase the risk of hernia development. 7 In conventional 3 port LC fundus holding port is omitted.…”

Section: Introductionmentioning

confidence: 99%

Three Port Laparoscopic Cholecystectomy by a Modified Technique

Khan¹,

Ansary

Talukdar

et al. 2022

J Shaheed Suhrawardy Med Coll

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Introduction:Since the introduction of laparoscopic cholecystectomy (LC) several modifications have been introduced to its procedure. Main aim of these modifications is to improve cosmesis & reduce pain. Several institutes are routinely performing conventional 3 ports laparoscopic. In modified 3 ports LC, the third port was moved from right hypochondrium to umbilicus, to conceal it in the umbilical scar, thereby giving the three port comfort to the surgeon and two port benefits to the patient. Methods: This observational study was conducted in the Department of Surgery of Shaheed Suhrawardy Medical College & Hospital from September 2015 to October 2016. After taking valid consent a total 45 patients were selected for modified 3 ports LC. Here we tried to see the safety and benefit of this modified technique by assessing operating time, intra-operative complications, open conversion rate, postoperative wound infection, post-operative hospital stay, pain score and satisfaction with cosmetic outcome. Results: 3 patients were excluded from study due to different reasons. So, among total 42 (N) patients 30 (71.4%) were female & 12 (28.6%) were male. Operative time was 58.48 ± 32.52 minutes (range 34 to 180 minutes). 2 patients required conversion to open surgery. Pain score was 2.07 ±1.71 and cosmetic score was 8.67 ± 1.99. Conclusion: Modified 3 port laparoscopic cholecystectomy can be performed safely with a higher cosmetic satisfaction in selected cases by expert surgeon. J Shaheed Suhrawardy Med Coll 2020; 12(2): 90-94

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“…Consequently we became interested in avoiding the third port at its prescribed place in the right hypochondrium and tried a new place of putting it in the concealed area. The study published in this regard was in experience of putting the third port in the umbilical ring at 8 o'clock position on the right side [10]. However it needed a 5 mm port to be made and its subsequent scar though concealed.…”

Section: Discussionmentioning

confidence: 99%

Two Port Laparoscopic Cholecystectomy with a Technical Modification of Using Port Closure Needle (The Chalkoo Modification)

Chalkoo

Rather

Yousuf

et al. 2018

JAMMR

Self Cite

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Background: Laparoscopy has revolutionised the gall bladder surgery since inception. There have been more than 30 different ways of performing Laparoscopic cholecystectomy mentioned in the literature. The standard 4 port Laparoscopic cholecystectomy has been modified to 3 port, 2 port, single port, SILS, NOTES cholecystectomy. Two port Laparoscopic cholecystectomy has also been modified in many ways using sutures for the traction of fundus and the infundibulum (puppet technique) and using alligator forceps. We became interested to modify two port lap chole by using port closure needle as a rescue instrument. Objective: To assess the technical ease, safety and feasibility of using a new instrument (port closure needle) in performing two port laparoscopic cholecystectomy. Materials and Methods: To assess the safety and technical feasibility of 2 port laparoscopic cholecystectomy using port closure needle as a rescue instrument. We selected a group of 50 patients for a prospective study at Govt. Medical College Srinagar, Kashmir India between January 2016 to January 2018. Our modification of 2 port lap chole resulted in no scar for the port closure

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A medical school experience with three port laparoscopic cholecystectomy with a new modification in technique

Cited by 4 publications

References 14 publications

Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Three Port Laparoscopic Cholecystectomy by a Modified Technique

Two Port Laparoscopic Cholecystectomy with a Technical Modification of Using Port Closure Needle (The Chalkoo Modification)

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