Two Port Cholecystectomy with Mini Laparoscopic Instrument
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Two-port mini laparoscopic cholecystectomy (LC) has been proposed as a safe and feasible technique. However, there are limited studies to evaluate the effectiveness of the procedure. This study is a prospective randomised trial to compare the standard four-port LC with two-port mini LC. The main advantage of two-port mini LC as described in the present study is the ease of performing the technique, and principles of surgery remain similar to the conventional four-port LC. Compared to this, other reduced port surgeries such as NOTES[ and SILS are technically more demanding as dissection becomes more difficult due to clashing of instruments, loss of normal triangulation, restricted vision and depth of dissection. Special large port, angulated instruments and scopes are needed for better dissection. All these factors lead to a steeper learning curve, and hence, operating time.
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