Attaullah Khan, Tufail Ahmad, Hizbullah Jan, Irum Sabir Ali, Misbah Riaz, Mah Muneer Khan.
Outcomes of a modified open technique of umbilical camera port insertion in laparoscopic cholecystectomy.
Pak J Surg Jan ;35(2):89-93.

Objective: The aim of the study was to assess the safety and efficacy of a modified open technique of umbilical camera port insertion in laparoscopic cholecystectomy. Material and Methods: This descriptive, observational study was carried out in a general surgery unit of Khyber Teaching Hospital, Peshawar over a period of two years, from January 2016 to December 2017. The modified open technique of camera port insertion was performed on 197 consecutive patients undergoing laparoscopic cholecystectomy. Patients were followed up for 6 months. Intraoperative complications (bowel and vascular injury) and postoperative complications (port site infection and port site hernia) were observed and documented on a structured proforma. Results: Out of 185 cases, 3 cases (1.5%) were converted to open cholecystectomy and 9 cases (4.56%)were lost to follow up. Among the remaining 185 cases,72%(134) were females and 28%(51) were males. All patients belonged to the adult age group with the age varying between 20-65 years and mean age being 42.51+-7.86 SD. Average time taken for trocar insertion was 1-2 minutes. No case of intraoperative bowel or vascular injury upon primary trocar insertion was observed. Two cases (1.08%)of port site infection and a single case (0.54%) of port site hernia were observed at 10 days and 6 months follow up respectively. Conclusion: The outcomes of our study suggest that the modified open technique of umbilical camera port insertion is a safe and simple means of access to the peritoneal cavity and is promising in terms of fewer intraoperative and postoperative complications and cosmetically acceptable scars.

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