Review Of The Two Port Laparoscopic Cholecystectomy In The Indications For Minimally Invasive Value And Tcm Syndrome

ObjectiveTo study the clinical application and estimate the minimal-invasive value of 2-port Laparoscopic cholecystectomy(LC).MethodsA retrospect clinical data comparison between the patients treated by 2-port LC and 3-port LC had been hold from 2001-2006. 24 patients undertook the 2-port LC, while 36 patients undertook the 3-port method. The clinical data records include age, diagnose, ASA Physical Status Classification; syndrome classification (TCM), symptom quantified scale (TCM); the mean operative time, ambulation time, exhaustion time and postoperative pain. The length, width, thickness of the gall-bladder and the width of the calculus were also measured by B-US.ResultsThere were no statistical difference in patients'age, diagnose, ASA Physical Status Classification; syndrome classification (TCM), symptom quantified scale (TCM) and the mean operative time. The length, width, thickness of the gall-bladder and the width of the calculus also showed no statistical difference. The 2-Port LC patients had less postoperative pain as while as earlier ambulation time and exhaustion time.Conclusion1. The 2-Port LC results in better minimal-invasive value and similar clinical outcomes comparing with the 3-Port method. The 2-port technique is as safe as the 3-port procedure for LC.2. Most of the 2-port LC patients were"stagnation of liver-gallbladder qi"type in syndrome classification, and gentle grade in symptom quantified scale.