SAMİ AÇAR, NURİ ALPER ŞAHBAZ
Comprehensive Medicine - 2023;15(4):279-285
INTRODUCTION: One of the purposes of laparoscopic surgery is being minimally invasive. In this context, we compared sling suture-assisted two-port techniques with the standard four-port technique in laparoscopic cholecystectomy. METHODS: A retrospective clinical study was planned and 96 patients over 18 years of age with gallstone disease were recruited from Zeynep Kamil Women and Children’s Diseases Training and Research Hospital between November 2019 and June 2021. Two-port laparoscopic cholecystectomy was performed in 48 patients (Group 1) and standard four-port laparoscopic cholecystectomy (Group 2) in other 48 patients. The duration of surgery, postoperative pain, cosmetic appearance, analgesic use, complication rates, the duration of hospital stay, and return to work times were compared. Results: The largest stone diameter, sac wall thickness, number of attacks, and pain radiating to back (p=0.007, p=0.001, p=0.013, and p=0.010, respectively) were significantly higher in the Group 2 than in the Group 1. The operation time was significantly lower (p=0.026) in the Group 2. The Numerical Rating Scale was used to assess postoperative pain. Although the 3rd day score was significantly higher (p=0.02) in the Group 2, no difference was found in the 3rd week evaluation (p=0.115). In the Group 2, postoperative symptoms, non-steroidal anti-inflammatory drug use, duration of hospital stay, and time to return to work were significantly higher (p<0.001, p<0.001, p=0.034, and p<0.001, respectively). DISCUSSION AND CONCLUSION: For standard four-port cholecystectomy, the two-port and two-suture assisted technique is a good alternative for selected cases. It can be applied successfully and is cosmetically effective.
