Results of Three Port Laparoscopic Cholecystectomy in 78 Patients

Introduction & Laparoscopic Cholecystectomy in the superior method for the treatment of symptomatic gall bladder disease. The method which was done initially through four ports has under gone many developments. Studies have shown that although the reduction of the number of ports and their size has not affected the side effects and the duration of the surgery, it has reduced the pain after surgery. 70 patients (89.5%) were female, and 8 patients (10.5%) were male. Patients were between 24 and 82 years old, and the average age was 57.6 years. In 8 patients the indication for operation was acute cholecystitis. We convert the three port laparoscopic cholecystectomy to open cholecystectomy in one patient due to difficulties in exploration (1.28%).We convert three port laparoscopic cholecystectomy to four port laparoscopic cholecystectomy in 2 patients (2.56), who were male, and one was previously mentioned patient (patient with acute cholecystitis). We use drain in 21 patients (27%) in the end of operation, which all of them were expelled in the next day. the oral feeding was started averagely in 1.2 days, and patients were discharged averagely after 1.6 days. We used about 25 mg of I.V pethidine for pain relief. The average operating time was 43 minute, and we performed intra-operative cholangiography in 8 patients due to it's classic indications. We documented one trocar site infection in one of our patients. Three port laparoscopic cholecystectomy is a safe and effective method in the treatment of symptomatic gallbladder disease, with minimal morbidity, but we advise to perform it after enough experience.