Port Sharing Vs. Only Sleeve Ports for Concomitant Laparoscopic Sleeve Gastrectomy and Cholecystectomy

Abstract

Background: Conventional trocar placement of combined operations are different, and this may cause visual and procedural difficulties. Combined laparoscopic resections improve rapid recovery, cosmoses and avoid multiple hospital admissions. Some reports on concomitant laparoscopic operations necessitates insertion of extra ports and others not.Patients and methods: This is a randomized controlled trial involved 78 obese patients with cholecystolithiasis admitted to Ain Shams University Hospitals and Family Hospitals. Computer based randomization were used for randomization into 2 groups, Group A (39 patients) we did port-sharing technique for LC and LSG. Group B (39 patients) underwent LC and LSG from the conventional Sleeve 4 ports distribution.Results: There was a statistically highly significant difference between both groups as regard mean operative time with longer mean operative time among group 2 cases. Although sleeve operative time was statistically insignificant between both groups cholecystectomy time was statistically significant. However, there was statistically significant difference between both groups as regard insertion of extra ports due to failure to achieve critical view of safety which is also statistically significant. No patients required conversion to laparotomy in both groups. There is no statistically significant difference between both groups according to other operative or post-operative data. Conclusion:Port sharing technique for both LC and LSG is easier, faster and preferred than using only sleeve ports for both procedures that may cause visual and procedural difficulties with shorter operative time for both procedures and with no need to insert extra ports.