THREE-PORT MINI-LAPAROSCOPIC CHOLECYSTECTOMY PROSPECTIVE COMPARATIVE STUDY

Introduction: laparoscopic cholecystectomy the 4-port operation Technique is standard worldwide. This study is a comparison of the a 3-port or a 4-port method, and the intraoperative and postoperative findings of the groups were compared. Materials and Methods: The files of 70 patients who underwent a laparoscopic cholecystectomy due to gallbladder disease between April 2024 to September 2024 were analyzed.It is a prospective study.The patients were divided into 2 groups 35 each, according to the use of a 3-port or a 4-port method, and the intraoperative and postoperative findings of the groups were compared. Results: A total of 70 patient files were reviewed and the only significant difference between the 2 groups as follow.the 3-port cases,10.5% were male,and 90.5% were female.Of the 4-port cases, 28.5% were male and 72.5% were female (p=0.010) . A significant difference was seen between the 2 groups with respect to the mean operation time .The average hospitalization period was longer in the 4-port group.post op analgesia was less in 3-port group,return to normal activity was significant.No significant difference was found in the number of intraoperative complications: gallbladder perforation (p=0.215), liver hemorrhage (p=0.481), entry of the gallstone into the abdomen (p=0.760). Conclusion:The three-port LC was associated with reduced cost of an additional port, less use of analgesics, and less work days lost by patients to start regular activities, so it seems cost effective than four-port LC.three port cholecystectomy can be recommended as a safe alternative procedure in elective surgery,but in difficulties during Calot's triangle consider 4th port or open cholecystectomy