ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Fewer Ports Cut Opioid Use and Length of Stay in Elective Laparoscopic Cholecystectomy.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 2 citations in OpenAlex.
- Best Evidence for Each Surgical Step in Minimally Invasive Right Hemicolectomy: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative pain is one of the most common reasons for prolonged hospital stay with opioid analgesia the mainstay of treatment.
objectivesThe purpose of this study was to determine whether the degree of abdominal trauma, reflected by the number and sizes of ports used in elective laparoscopic cholecystectomy, correlated against opioid analgesia requirements and length of stay.
methodsA retrospective clinical audit was undertaken of 144 patients who underwent elective laparoscopic cholecystectomies with 3-port (12/5/5) and 4-port approaches (12/5/5/5 and 12/10/5/5). In the reduced port cases, liver retraction was achieved using a suction retractor, removing the requirement for a fourth port. The number of ports and total cross-sectional area of all ports were compared against the procedure time, length of stay, and opioid analgesia required.
resultsThe smaller total cross-sectional area associated with the 3-port approach (12/5/5, 277.25 mm
conclusionsThe absolute number of ports used in elective laparoscopic cholecystectomies appears to play an important role in postoperative recovery. In particular, 3-port configurations may result in less postoperative pain without the burden of an increase in length of stay, morbidity, or mortality rates.
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