Three-Port Laparoscopic Cholecystectomy Plus Suture Hanging of Gallbladder Versus Standard Four-Port Laparoscopic Cholecystectomy: A Retrospective Cohort Study in Krathumbaen Hospital

Authors

  • Wongsakorn Veerakarnjana Division of Surgery Krathumbaen Hospital
  • Sukanya Wiriyakosol Division of Surgery Krathumbaen Hospital

Keywords:

Laparoscopic cholecystectomy, Three-port, Hanging gallbladder

Abstract

Objective: According to a previous study of three-port laparoscopic cholecystectomy with suture retraction of the gallbladder at Krathumbaen Hospital found a good result and well patient satisfaction without major adverse event. This study reports a retrospective cohort that compared clinical outcomes of a three-port laparoscopic cholecystectomy with suture retraction of the gallbladder with a standard four-port laparoscopic cholecystectomy.
Method: The records of 120 patients who underwent LC in Krathumbaen Hospital from 2021 to 2024 were reviewed. Variables such as operative time, intraoperative blood loss, conversion rate, postoperative analgesics, complications, and length of hospital stay were compared.
Result: 60 patients were divided into each procedure group. There was no statistical difference between the three-port plus group and four-port group in terms of intraoperative blood loss, conversion rate, opioid required, and length of hospital stay. The operative time was significantly lower in the three-port plus group compared to the four-port group (p=0.0003) but dynastat consumption was significantly higher (p=0.030).
Conclusion: The 3-port plus suture hanging LC is safe and can be optional for symptomatic gallstone and chronic cholecystitis patient. The procedure offers considerable advantages in the mean operative time over the 4-port LC.

References

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Endo S, Souda S, Nezu R, Yoshikawa Y, Hashimoto J, Mori T, et al. A new method of laparoscopic cholecystectomy using three trocars combined with suture retraction of gallbladder. J Laparoendosc Adv Surg Tech A 2001;11:85-8.

Wiriyakosol, S. (2016). Three-port laparoscopic Cholecystectomy with Modification in Technique by Suture Retraction of Gallbladder. Region 4-5 Medical Journal. 2016;35(2):71–76.

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Published

2026-03-31

How to Cite

Veerakarnjana, W., & Wiriyakosol, S. (2026). Three-Port Laparoscopic Cholecystectomy Plus Suture Hanging of Gallbladder Versus Standard Four-Port Laparoscopic Cholecystectomy: A Retrospective Cohort Study in Krathumbaen Hospital. Health Science and Nursing Samutsakhon Hospital Journal, 2(2), 79–89. retrieved from https://he05.tci-thaijo.org/index.php/HSN_SKHJ/article/view/7690

Issue

Vol. 2 No. 2 (2025): July-December 2025

Section

Original Article

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