Clinical Application of Two-Port Laparoscopic Cholecystectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHAO Jianguo , SUN Li , QIU Bin , CAI Bing

Department of Hepatobiliary Surgery，Wuxi People’s Hospital，Nanjing Medical University，Wuxi 214000，Jiangsu Province，China;

Corresponding author：

Keywords：

Two-port; Three-port; Laparoscopic cholecystectomy; Control study

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Objective 　To discuss the safety，feasibility，and advantages of two-port laparoscopic cholecystectomy （LC）．
Methods 　The clinical data of 114 patients underwent LC from June 2008 to October 2010 were retrospectively analyzed，of which 46 underwent two-port LC （two-port LC group，n=46） and 68 underwent three-port LC （three-port LC group，n=68）. The operation time，intraoperative blood loss，postoperative feeding time，postoperative pain，postoperative hospital stay，and hospitalization expenses were compared between two groups.
Results　 All the operations were successful，no postoperative complications occurred in both groups．The operation time in the two-port LC group was longer than that in the three-port LC group （P＜0.05）. The intraoperative blood loss，postoperative feeding time，postoperative pain，and postoperative hospital stay had no significant differences in two groups （P＞0.05）. The hospitalization expenses in the two-port group was less than that in the three-port group（P＜0.05）.
Conclusions 　Two-port LC is a safe and feasible operation in the simple gallstone patients. It is cautious in those patients with acute cholecystitis because of the restricted vision and operation．

Citation： ZHAO Jianguo,SUN Li,QIU Bin,CAI Bing,.. Clinical Application of Two-Port Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(2): 200-203. doi: Copy

1.	Rupp CC，Farrell TM，Meyer AA．Single incision laparoscopic cholecystectomy using a “two-port” technique is safe and feasible： experience in 101 consecutive patients[J]．Am Surg，2011， 77(7）：916-921．.
2.	Poon CM，Chan KW，Lee DW，et al．Two-port versus four port laparoscopic cholecystectomy[J]．Surg Endosc，2003，17(10)： 1624-1627．.
3.	Bhattacharya K，Cathrine N．Two port laparoscopic cholecystectomy[J]．Trop Gastroenterol，2000，21(3)：149．.
4.	Lee KW，Poon CM，Leung KF，et al．Two-port needlescopic cholecystectomy：prospective study of 100 cases[J]．Hong Kong Med J，2005，11(1)：30-35．.
5.	Rao PP，Bhagwat SM，Rane A，et al．The feasibility of single port laparoscopic cholecystectomy：a pilot study of 20 cases[J]． HPB (Oxford)，2008，10(5)：336-340．.
6.	Belli G，Fantini C，D’agostino A，et al．Single port laparoscopic cholecystectomy：a new evolving technique[J]．Hepatogastroenterology，2011，58(109)：1132-1136．.
7.	Torda TA，Pybus DA．Extradural administration of morphine and bupivacaine．A controlled comparison[J]．Br J Anaesth，1984， 56(2)：141-146．.
8.	Saccomani G，Arezzo A，Percivale A，et al．Laparoscopic cholecystectomy can be performed safely with only three ports in the majority of cases[J]． Chir Ital，2009，61(5-6)：613-616．.
9.	Langwieler TE，Nimmesgern T，Back M．Single-port access in laparoscopic cholecystectomy[J]．Surg Endosc，2009，23(5)： 1138-1141．.
10.	Chalkoo M，Ahangar S，Durrani AM．Is fourth port really required in laparoscopic cholecystectomy?[J]．Indian J Surg， 2010，72(5)：373-376．.
11.	Misiak A，Szczepanik AB．Laparoscopic cholecystectomy with single incision laparoscopic surgery[J]．Pol Merkur Lekarski， 2009，27(161)：372-374．.
12.	Osborne DA，Alexander G，Boe B，et al．Laparoscopic cholecystectomy：past，present，and future[J]．Surg Technol Int， 2006，15：81-85．.
13.	Al-Azawi D，Houssein N，Rayis AB，et al．Three-port versus four-port laparoscopic cholecystectomy in acute and chronic cholecystitis[J]．BMC Surg，2007，7：8-14．.
14.	Nguyen NT，Reavis KM，Hinojosa MW，et al．Laparoscopic transumbilical cholecystectomy without visible abdominal scars[J]．J Gastrointest Surg，2009，13(6)：1125-1128．.
15.	Waqar SH，Shah SF，Khan IA，et al．Two-port laparoscopic cholecystectomy－a new technique[J]．J Ayub Med Coll Abbottabad，2008，20(4)：167-168．.
16.	Caravati F，Ceriani F，Moroni M，et al．Laparoscopic cholecystectomy with three trocars：10 years experience[J]．Chir Ital， 2004，56(1)：81-88．.
17.	Tebala GD．Three-port laparoscopic suture-suspension cholecystectomy[J]．Chir Ital，2008，60(2)：285-289．.
18.	Shimura T，Suehiro T，Suzuki H，et al．Laparoscopic cholecystectomy using a novel two-port technique for surgical residency training[J]． Int Surg，2009，94(2)：149-153．.
19.	Kumar M，Agrawal CS，Gupta RK．Three-port versus standard four-port laparoscopic cholecystectomy：a randomized controlled clinical trial in a community-based teaching hospital in eastern Nepal[J]．JSLS，2007，11(3)：358-362．.
20.	Tacchino R，Greco F，Matera D．Single-incision laparoscopic cholecystectomy：surgery without a visible scar[J]．Surg Endosc，2009，23(4)：896-899．.
21.	Vidal O，Valentini M，Espert JJ，et al．Laparoendoscopic single-site cholecystectomy：a safe and reproducible alternative[J]．J Laparoendosc Adv Surg Tech A，2009，19(5)：599-602．.
22.	Dutta S．Early experience with single incision laparoscopic surgery：eliminating the scar from abdominal operations[J]．J Pediatr Surg，2009，44(9)：1741-1745．.
23.	Rivas H，Varela E，Scott D．Single-incision laparoscopic cholecystectomy：initial evaluation of a large series of patients[J]． Surg Endosc，2010，24(6)：1403-1412．.
24.	Bucher P，Pugin F ，Buchs NC，et al．Randomized clinical trial of laparoendoscopic single-site versus conventional laparoscopic cholecystectomy[J]．Br J Surg，2011，98(12)：1695-1702．.

1. Rupp CC，Farrell TM，Meyer AA．Single incision laparoscopic cholecystectomy using a “two-port” technique is safe and feasible： experience in 101 consecutive patients[J]．Am Surg，2011， 77(7）：916-921．.
2. Poon CM，Chan KW，Lee DW，et al．Two-port versus four port laparoscopic cholecystectomy[J]．Surg Endosc，2003，17(10)： 1624-1627．.
3. Bhattacharya K，Cathrine N．Two port laparoscopic cholecystectomy[J]．Trop Gastroenterol，2000，21(3)：149．.
4. Lee KW，Poon CM，Leung KF，et al．Two-port needlescopic cholecystectomy：prospective study of 100 cases[J]．Hong Kong Med J，2005，11(1)：30-35．.
5. Rao PP，Bhagwat SM，Rane A，et al．The feasibility of single port laparoscopic cholecystectomy：a pilot study of 20 cases[J]． HPB (Oxford)，2008，10(5)：336-340．.
6. Belli G，Fantini C，D’agostino A，et al．Single port laparoscopic cholecystectomy：a new evolving technique[J]．Hepatogastroenterology，2011，58(109)：1132-1136．.
7. Torda TA，Pybus DA．Extradural administration of morphine and bupivacaine．A controlled comparison[J]．Br J Anaesth，1984， 56(2)：141-146．.
8. Saccomani G，Arezzo A，Percivale A，et al．Laparoscopic cholecystectomy can be performed safely with only three ports in the majority of cases[J]． Chir Ital，2009，61(5-6)：613-616．.
9. Langwieler TE，Nimmesgern T，Back M．Single-port access in laparoscopic cholecystectomy[J]．Surg Endosc，2009，23(5)： 1138-1141．.
10. Chalkoo M，Ahangar S，Durrani AM．Is fourth port really required in laparoscopic cholecystectomy?[J]．Indian J Surg， 2010，72(5)：373-376．.
11. Misiak A，Szczepanik AB．Laparoscopic cholecystectomy with single incision laparoscopic surgery[J]．Pol Merkur Lekarski， 2009，27(161)：372-374．.
12. Osborne DA，Alexander G，Boe B，et al．Laparoscopic cholecystectomy：past，present，and future[J]．Surg Technol Int， 2006，15：81-85．.
13. Al-Azawi D，Houssein N，Rayis AB，et al．Three-port versus four-port laparoscopic cholecystectomy in acute and chronic cholecystitis[J]．BMC Surg，2007，7：8-14．.
14. Nguyen NT，Reavis KM，Hinojosa MW，et al．Laparoscopic transumbilical cholecystectomy without visible abdominal scars[J]．J Gastrointest Surg，2009，13(6)：1125-1128．.
15. Waqar SH，Shah SF，Khan IA，et al．Two-port laparoscopic cholecystectomy－a new technique[J]．J Ayub Med Coll Abbottabad，2008，20(4)：167-168．.
16. Caravati F，Ceriani F，Moroni M，et al．Laparoscopic cholecystectomy with three trocars：10 years experience[J]．Chir Ital， 2004，56(1)：81-88．.
17. Tebala GD．Three-port laparoscopic suture-suspension cholecystectomy[J]．Chir Ital，2008，60(2)：285-289．.
18. Shimura T，Suehiro T，Suzuki H，et al．Laparoscopic cholecystectomy using a novel two-port technique for surgical residency training[J]． Int Surg，2009，94(2)：149-153．.
19. Kumar M，Agrawal CS，Gupta RK．Three-port versus standard four-port laparoscopic cholecystectomy：a randomized controlled clinical trial in a community-based teaching hospital in eastern Nepal[J]．JSLS，2007，11(3)：358-362．.
20. Tacchino R，Greco F，Matera D．Single-incision laparoscopic cholecystectomy：surgery without a visible scar[J]．Surg Endosc，2009，23(4)：896-899．.
21. Vidal O，Valentini M，Espert JJ，et al．Laparoendoscopic single-site cholecystectomy：a safe and reproducible alternative[J]．J Laparoendosc Adv Surg Tech A，2009，19(5)：599-602．.
22. Dutta S．Early experience with single incision laparoscopic surgery：eliminating the scar from abdominal operations[J]．J Pediatr Surg，2009，44(9)：1741-1745．.
23. Rivas H，Varela E，Scott D．Single-incision laparoscopic cholecystectomy：initial evaluation of a large series of patients[J]． Surg Endosc，2010，24(6)：1403-1412．.
24. Bucher P，Pugin F ，Buchs NC，et al．Randomized clinical trial of laparoendoscopic single-site versus conventional laparoscopic cholecystectomy[J]．Br J Surg，2011，98(12)：1695-1702．.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Application of Two-Port Laparoscopic Cholecystectomy

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