Three port verses standard Four port Laparoscopic Cholecystectomy: Randomized Controlled Trial

Gallbladder is a pear-shaped helping digestive organ located in the right upper abdomen. The functions of the gall bladder include storage, concentration, and release of bile into the intestine by simultaneous contraction of the gall bladder. Gallbladder disease is the most common digestive problem that may require hospitalization.The comprehensive review on three-port versus four-port laparoscopic cholecystectomy provides valuable insights from multiple studies, offering a nuanced understanding of the optimal approach for this common surgical procedure. The included studies consistently indicate that the three-port technique is a feasible and safe alternative to the traditional four- port method. While there may be variations in operative time, the three-port approach consistently demonstrates advantages such as reduced postoperative pain, decreased analgesic requirements, and shorter hospital stays. Notably, the three-port technique proves to be more cost-effective, contributing to a potentially quicker return to work and superior cosmetic outcomes. Surgeon experience and careful patient selection emerge as pivotal factors influencing the success of either technique. The findings underscore the importance of considering the specific clinical scenario, patient characteristics, and surgeon proficiency when choosing between the three-port and four-port laparoscopic cholecystectomy approaches. This study will be done at Acharya Vinoba Bhave Rural Hospital.