Evaluation of the Safety of Reduced–port Laparoscopic Cholecystectomy in Patients with Cholecystitis

Abstract

Reduced–port cholecystectomy is now widely performed in patients with cholecystitis. Our study was aimed at assessing the safety of reduced–port surgery (RPS) for cholecystitis based on the TOKYO Guidelines 2018. 【Method】From January 2016 and April 2019, we performed laparoscopic cholecystectomy in 174 patients with cholecystitis. Conventional surgery was performed in 104 patients and RPS in 70 patients. We compared the short–term surgical outcomes between the two groups, especially in patients with mild cholecystitis. 【Results】In regard to the intraoperative outcomes, the estimated blood loss was lower in the RPS group. On the other hand, similar short–term postoperative outcomes were noted between the RPS group and conventional surgery group. 【Conclusion】RPS for mild acute cholecystitis can be safely performed, with superior short–term outcomes, such as reduced intraoperative blood loss as compared to the conventional surgery group.