Three midline port for laparoscopic cholecystectomy- An alternative to standard port placement increasing critical view of safety. A Prospective Cohort Study.

Dr. (Prof) Shailesh Kumar

Volume : VI, Issue : V, May - 2017

Three midline port for laparoscopic cholecystectomy- An alternative to standard port placement increasing critical view of safety. A Prospective Cohort Study.

Dr. Prof Shailesh Kumar

Abstract :

Introduction- There has been a lot of changes in the technique and technology of doing laparoscopic cholecystectomy since1985. Most of the changes took place to increase the critical view of safety (CVS). Our approach is to increases the critical view of safety leaving very remote possibility of injuries to arterial and biliary system.

Method- Total (80) patients undergoing elective cholecystectomy for symptomatic gallstones were included. Three Midline port of size 10mm. 5mm and 10mm were placed at peri umbilical area, 3 inch cranial to 1^st one and in the Epigastric area respectively. The last two are working port and inter changeable.

Results- The results were compared with literature in terms of injuries to the biliary and arterial system. There were no injuries to biliary and arterial system in our study

Conclusion- The three-midline-ports approach is a safe and easy technique with enhanced critical view of safety.