Since the advent of minimal invasive surgery, laparoscopic cholecystectomy has taken a storm and becomes a preferred procedure for all benign gall bladder condition.  Though it has become the standard procedure, there is still a debate between which port to be used for gall bladder retrieval during four port laparoscopic cholecystectomy. Our study aims to compare the postoperative site pain, surgical site occurrence, difficulty in retrieval of GB and port site hernia after gall bladder (GB) retrieval through the umbilical vs epigastric port site.

This will be a randomized control trial in which total number of patients who are planned for elective cholecystectomy by surgery unit 4 will be chosen and they would be randomized in to two groups: (A) the umbilical port group (GB retrieval through the umbilical port) and (B) the epigastric port group (GB retrieval through the epigastric port).  Both the groups will be prepared similarly in their preoperative period. Laparoscopic cholecystectomy (LC) shall be done by the experienced surgeon. The GB specimen will be removed via umbilical or epigastric port depending upon the allocation of groups using a retrieval bag. Their pain at the respective port site to be assessed by visual analog scale (VAS) at 6, 12, 24 and 36 hours postoperatively as mentioned in the methodology. Wound to be inspected for surgical site occurrence on the day of discharge and 1^st follow up visit after discharge. Following that patient shall be followed up telephonically on day 30 to enquire about the status of the surgical site.  Postoperative analgesic of choice will be similar between both the groups mainly bupivacaine locally at the port site following that Injection paracetamol and Tramadol/Diclofenac depending on the renal status of the patient on Day 1 and to be changed to oral tablets on subsequent postoperative days. Then difficulty in retrieval of GB between ports would be assessed by time taken for removal, rupture of the Endo bag, single large stone and presence of multiple stone. Presence of port site hernia at the respective port to be assessed in 6 months, follow up post-surgery. Then all the data will be collected, analyzed to compare the postoperative site pain and surgical site infection after GB retrieval through the umbilical vs epigastric port site in patients undergoing four port elective LC.