Affiliations 

  • 1 Science University of Malaysia (USM), Advanced Medical and Dental Institute (AMDI), Penang and Sultanah Bahiyah Hospital, Department of General Surgery, Division of Surgery, Hepato-Pancreato-Biliary (HPB) Unit, Kedah, Malaysia. leowvm@amdi.usm.edu.my
  • 2 Sultanah Bahiyah Hospital, Department of General Surgery, Division of Surgery, Hepato-Pancreato-Biliary (HPB) Unit, Kedah, Malaysia
Med J Malaysia, 2014 Jun;69(3):129-32.
PMID: 25326354 MyJurnal

Abstract

OBJECTIVE: Conventional laparoscopic cholecystectomy (LC) involves the use of four ports, but the number of ports has gradually been reduced to one for cosmetic reasons. however, single-incision LC is technically demanding, and there is a substantial learning curve associated with its successful application. The aim of this clinical study was to evaluate the safety and feasibility of a less demanding alternative LC technique with a faster learning curve.

METHODS: This prospective descriptive study was performed from September 2009 to February 2011 at Sultanah Bahiyah hospital in Kedah, Malaysia. A total of 58 patients underwent two-incision threeport laparoscopic cholecystectomy (TILC), which was performed by the senior consultant hepato-pancreato-biliary surgeon and two hepato-pancreato-biliary trainees. Study end points included operative time, postoperative pain, length of hospital stay and early postoperative complications. The follow-up period was 4 weeks.

RESULTS: The overall operative time taken was 44 ± 18 minutes. none of the patients had major complication or incisional hernia postoperatively. All but one of the patients were discharged within 24 h. nonsteroidal anti-inflammatory drugs were the main postoperative analgesic used.

CONCLUSION: TILC is feasible and safe cholecystectomy technique.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.