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Background/ Objective: Conventionally, laparoscopic cholecystectomy involved the use of four ports. Gradually as cosmetic
reason has become the primary goal, the numbers of port used have reduced to one. This has been achieved with single
incision laparoscopic cholecystectomy. However, these techniques may necessitate certain degree of learning curve and technically
more demanding. The aim of this clinical study was to explore an alternative technique of laparoscopic choleycystectomy which
offers a simpler learning curve and technically less demanding. We have attempted to determine the feasibility and safety of two
incision three ports laparoscopic cholecystectomy. Methods: This was a prospective descriptive study performed from September
2009 to February 2011. A total of 58 cases of two incisions three ports laparoscopic ]\cholecystectomy were being attempted
by the senior consultant hepatopancreatic biliary surgeon and two trainee hepatopancreatic biliary surgeons. Study end points
included operative time, postoperative pain, length of hospital stay and early postoperative complications. Results: The overall
operative time taken was 44 � 18 minutes. A total of 98% of the patients discharged within 24 hours. Pain reliefs used were mainly
NSAIDs. None of the patients had major complication or incisional hernia postoperatively. Conclusion: Two-incision three ports
laparoscopic cholecystectomy is feasible and safe to be performed.
Voon Meng Leow obtained his MD at Science University of Malaysia (USM) in the year 2000. He then completed his surgical residency in the year 2008 and works as a general surgeon at Advanced Medical and Dental Institute (AMDI), USM. At present, he is a visiting fellow at Dumont-UCLA Multivisceral Center, Ronald Reagan Medical Center, Los Angeles, California.
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