Epigastric port retrieval of the gallbladder following laparoscopic cholecystectomy is associated with the reduced risk of port site infection and port site incisional hernia: An updated meta-analysis of randomized controlled trials

Sood, S; Imsirovic, Anja; Sains, Parv; Singh, Krishna K.; Sajid, Muhammad Shafique

doi:10.1016/j.amsu.2020.05.017

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…Umbilical port sepsis as reported in few other studies ranges from 1 to 5%. 23,24,25,26 Cemal Kaya found no significant difference in portsite infection or hernia between two groups. 27 Ali & Siddiqui 2013 reported discharging sinus following laparoscopic cholecystectomy due to gallstone implantation.…”

Section: Discussionmentioning

confidence: 93%

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

Shaikh¹,

Baloch²,

Shah³

et al. 2021

TPMJ

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Objective: To compare the frequency of port site wound infection following gall bladder removal through umbilical and epigastric port in laparoscopic cholecystectomy. Study Design: Randomized Control Trial. Setting: Surgical Unit 2, Ghulam Muhammad Mahar Medical College, hospital Sukkur. Period: 1st November 2019 to 30th October 2020. Material & Methods: All cases who underwent four port laparoscopic cholecystectomy were enrolled in two groups. All procedures were performed under general anesthesia. As the last event of surgery gall bladder was retrieved in a glove bag through umbilical port in group A and through epigastric port in group B, both under direct camera vision. Wound infection was considered if there was 3 to 5 grade of wound according to Southampton wound grading system (Figure-1) on 5th postoperative day. All demographics and outcome variables were recorded. Results: Age ranged from 20 to 60 years with mean age of 38.875±8.11 years, BMI 29.973±5.12 Kg/m2, duration of surgery 50.656±8.41 mins and Southampton score was 1.044±1.07 in Group A and mean age of 38.560±6.23 years, BMI 27.437±5.04 Kg/m2, duration of surgery 48.920±8.67 mins and Southampton score was 0.856±0.92 in Group B. In group A, 18 (5.7%)patients developed port site wound infection in contrast to 5 (1.6%) patients in group B (P= 0.006). Conclusion: We conclude that epigastric port retrieval of gall bladder following laparoscopic cholecystectomy results in less port site infection.

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Section: Discussionmentioning

confidence: 93%

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

Shaikh¹,

Baloch²,

Shah³

et al. 2021

TPMJ

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“…Four systematic reviews compared patient outcomes after gallbladder extraction from the epigastric or umbilical port [ 71 , [73] , [74] , [75] ]. Only 1 study, Kulkarni et al observed differences in port site hernia, with more frequent occurrence in the umbilical port gallbladder extraction group over a follow-up of 30 days to 6 months [ 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Mongelli et al and Sood et al both observed that patients undergoing umbilical port site removal had less immediate postoperative pain in the day following surgery [ 73 , 74 ], whereas Kulkarni and Hajibandeh found no difference in postoperative pain [ 71 , 75 ]. Furthermore, Hajibandeh and Sood noted significantly quicker gallbladder retrieval time from the umbilical site, with the latter describing fewer instances of gallbladder perforation during the extraction [ 74 , 75 ]. Umbilical retrieval seems to be associated with easier, less traumatic gallbladder extraction.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based surgery for laparoscopic cholecystectomy

Fisher¹,

Bessoff²,

Khan³

et al. 2022

Surgery Open Science

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“…The study population included all patients candidate for elective LC from August 2018 to August 2020. Given the prevalence of infection in previous studies, the sample size was estimated 516 people; each group was 258 people 12…”

Section: Methodsmentioning

confidence: 99%

Comparative Study of the Incidence of Port Site Infection in Disposable Ports and Reprocessed Disposable Ports in Laparoscopic Cholecystectomy

Jokar

Larti

Zarei

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Introduction: Port site infection (PSI) is a rare complication of laparoscopic surgery that can reduce the benefits of this minimally invasive surgery and increase postoperative complications. As a variety of disposable ports (single-use ports) and reprocessed ports are used in laparoscopic surgeries, this study was conducted to compare the incidence of PSI in disposable ports and reprocessed disposable ports in laparoscopic cholecystectomy (LC). Materials and Methods:In this prospective cohort study, 473 patients were studied. Two hundred fifteen and two hundred fifty eight were in the disposable port group and reprocessed disposable port group, respectively. The demographic characteristics and incidence of superficial and deep infection were evaluated using the researcher-made checklist of infection assessment standards at intervals of 3 to 5 and 5 to 14 days following LC using call and physical examination on day 14. Data analysis was performed using descriptive statistics and statistical tests in SPSS software. Results:The incidence of PSI, 3 to 5 and 5 to 14 days after surgery in the reprocessed disposable port group was significantly higher than that in the disposable ports group. In both groups, all PSI accrued in the epigastric port area (where the gallbladder was removed) (P < 0.05). Conclusion:On the basis of the results, our study suggests using disposable ports instead, and in the case of using reprocessed disposable ports in LC, upgrading of disinfection and sterilization techniques is necessary.

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Epigastric port retrieval of the gallbladder following laparoscopic cholecystectomy is associated with the reduced risk of port site infection and port site incisional hernia: An updated meta-analysis of randomized controlled trials

Cited by 7 publications

References 13 publications

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

Evidence-based surgery for laparoscopic cholecystectomy

Comparative Study of the Incidence of Port Site Infection in Disposable Ports and Reprocessed Disposable Ports in Laparoscopic Cholecystectomy

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