Comparison of Ergonomics of Epigastric Port Placement in Relation to the Falciform Ligament in Laparoscopic Cholecystectomy
Abstract: Background: Epigastric port placement during laparoscopic cholecystectomy affects instrument triangulation and working ergonomics. The optimal position in relation to the falciform ligament remains variable. Aim: To compare ergonomic measurements and selected perioperative outcomes between epigastric port placement to the left and right of the falciform ligament. Methods: This comparative study included 40 adults undergoing standard four-port laparoscopic cholecystectomy at Government Medical College and Associated Group of Hospitals, Kota, Rajasthan, between October 2023 and December 2024. Twenty patients underwent left-of-falciform placement and 20 underwent right-of-falciform placement. Outcomes included manipulation and azimuth angles, port-to-port and port-to-target distances, port insertion time, operative time and hospital stay. Results: Mean manipulation angle was 60.0° (SD 0) in the left-sided group and 105.5° (SD 6.05) in the right-sided group (reported p
Keywords: Laparoscopic cholecystectomy; epigastric port; falciform ligament; ergonomics; manipulation angle; azimuth angle
How to Cite?: Anju Nagar, Dharmraj Meena, Meenesh Meena, "Comparison of Ergonomics of Epigastric Port Placement in Relation to the Falciform Ligament in Laparoscopic Cholecystectomy", Volume 15 Issue 11, November 2026, International Journal of Science and Research (IJSR), Pages: 96-99, https://www.ijsr.net/getabstract.php?paperid=MR261103234710, DOI: https://dx.doi.org/10.21275/MR261103234710