Two Port Laparoscopic Cholecystectomy- A Simplified And Safe Technique

Context: Cholecystectomy is the most commonly performed operation by general surgeons worldwide and the lesser invasive technique i.e. the laparoscopic cholecystectomy is the preferred operative technique both for the patient as well as for the surgeon. Conventionally laparoscopic cholecystectomy is performed by using three or four ports of various sizes. As cosmesis is an important aspect of laparoscopic cholecystectomy, the trend is now towards use of lesser ports thereby resulting in better cosmesis for patients. Surgeons are now routinely performing laparoscopic cholecystectomy by SILS (Single Incision Laparoscopic Surgery). Two ports laparoscopic cholecystectomy also gives good cosmetic result without any added risk to the patients and can be done with the conventional instruments with good patient satisfaction. Aims: To study the feasibility of performing a modified technique of laparoscopic cholecystectomy by using two ports only. Settings and Design: Prospective experimental type of study. Methods and Material: Thirty patients with gallstone disease admitted in the hospital were included in the study after obtaining proper informed consent. Results: None of the cases had to be converted to open procedure or any added ports were required. The average operation time was 35 ± 5 minutes. The average hospital stay was one day. No patients developed any post-operative complications till 6 months post-operatively. Conclusions: The two port laparoscopic cholecystectomy that is being described here is a safe and simple procedure with good patient satisfaction.