Two-port laparoscopic cholecystectomy: initial results of a modified technique.
OBJECTIVE
Two-port laparoscopic cholecystectomy has been reported to be safe and feasible with a higher patient satisfaction score. However, it was technically difficult even in expert hands because of the small operating field. We have modified the operating telescope to achieve a wide field of view.


METHODS
Since September 2000, 14 patients have been enrolled for two-port laparoscopic cholecystectomy. The male to female ratio was 5:9. The median age was 54.5 years (interquartile range [IQR] 45-67.75 years).


RESULTS
The median operative time was 53 minutes (IQR 38-61 minutes). Two patients required one additional 5-mm port or a traction suture because of dense adhesions. There was no conversion to open surgery. The median postoperative hospital stay was 2 days (IQR 1-2.25 days). The median oral postoperative analgesia requirement was 1 dose (IQR 0-3 doses). There were no major or minor complications, and there were no deaths.


CONCLUSIONS
The modified two-port technique greatly facilitates two-port laparoscopic cholecystectomy and improves the clinical outcome.
Poon
Chi-Ming
CM
Department of Surgery, North District Hospital, Sheung Shui, NT, HKSAR, China.
Chan
Kin-Wing
KW
Ko
Chi-Wah
CW
Chan
Kan-Chung
KC
Lee
Danny W H
DW
Cheung
Ho-Yin
HY
Lee
Kin-Wan
KW
D000368:Aged; D000700:Analgesics / Q000008:administration & dosage; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
D000700:Analgesics