A Prospective Randomized Control Study Comparing Standard 4 Port Laparoscopic Cholecystectomy Versus Reduced Port Size Laparoscopic Cholecystectomy for Gall Stone (Cholelithiasis)
Abstract: Background: Gallstone disease (cholelithiasis) is a common health problem that often necessitates surgical removal of gallbladder (cholecystectomy). Laparoscopic cholecystectomy (LC) is gold standard for treating symptomatic gallstone disease, typically performed using a four-port technique. Recent advances in minimally invasive surgery have led to development of reduced port size laparoscopic cholecystectomy (RPLC), which aims to minimize the number and size of ports used, potentially offering benefits such as reduced postoperative pain, improved cosmetic outcomes, and faster recovery. Objective: This prospective randomized control study aims to compare the clinical outcomes of standard 4-port laparoscopic cholecystectomy (SLC) with reduced port size laparoscopic cholecystectomy (RPLC) for the treatment of gallstone disease. Methods: A total of 60 patients with cholelithiasis, fulfilling the inclusion criteria, were randomly assigned to either Group A (SLC) or Group B (RPLC), with 30 patients in each group. Both techniques involved laparoscopic removal of the gallbladder, with the only difference being the size of the epigastric and lateral ports. Intraoperative and postoperative outcomes were evaluated, including operative time, postoperative pain (measured using the Visual Analogue Scale), cosmetic outcomes (assessed using the Scar Cosmesis Assessment and Rating Scale), complication rates, patient satisfaction, and hospital stay. Data were analyzed using statistical methods, and significance was determined at a p-value
Keywords: Cholelithiasis, laparoscopic cholecystectomy, reduced port size, postoperative pain, cosmetic outcomes, randomized controlled trial
How to Cite?: Dr. Yogesh Sadh, Dr. R. K. Kajla, Dr. Dinesh Bhamu, Dr. Mahavir Prasad, Dr. Radhika Agarwal, Dr. Arnav Dayal, Dr. Sanjay Choudhary, Dr. Surendra Kumar Jat, "A Prospective Randomized Control Study Comparing Standard 4 Port Laparoscopic Cholecystectomy Versus Reduced Port Size Laparoscopic Cholecystectomy for Gall Stone (Cholelithiasis)", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 579-583, https://www.ijsr.net/getabstract.php?paperid=SR26408222331, DOI: https://dx.doi.org/10.21275/SR26408222331