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Review Article Volume 5 Issue 1
Alternative technique for laparoscopic cholecystectomy comparable to single-port surger
Carlos A Sabbag, Ana Blitzcko
Santa Cruz Hospital, Vita Batel Hospital, and Los Angeles Clinic, Curitiba, Paraná, Brazil
Received: May 11, 2017 | Published: March 15, 2019
Citation: Sabbag C, Blitzckow A. Alternative technique for laparoscopic cholecystectomy comparable to single-port surgery. J Liver Res Disord Ther.2019;5(1):10-12. DOI: 10.15406/jlrdt.2019.05.00128
Abstract
Rational: with the advancement of laparoscopic surgery, new techniques have been proposed and disseminated with the aim of reducing surgical aggression and obtaining better aesthetic results. Objective: to present an alternative technique for videocolecystectomy similar to the single port technique, however using conventional material for laparoscopic surgery. Method: videocolecystectomy procedure with use of two incisions, exposure of the calot trine by traction of the gallbladder with wire and ligation of the elements of the cystic strand with clips of polymer. Results: nine operations were performed with this method, with no complications or increase in operative time compared to conventional videocolecystectomy, but with a greatly superior aesthetic result. Conclusion: the technique is feasible, reproducible and shows benefits and safety to the patient.Descriptors: laparoscopic cholecystectomy. Cholecystitis, Cholelithiasis, minimally invasive surgical procedures.Background: with advances in laparoscopic surgery, new techniques have been proposed and implemented in order to reduce surgical invasiveness and achieve better cosmetic results. Aim: to present an alternative technique for videocholecystectomy comparable to single-port surgery using conventional laparoscopic instruments. Method: insertion of laparoscopic instruments using two incisions, gallbladder traction with suture, exposure of calot’s triangle, and ligature of cystic pedicle with polymer clips. Results: nine operations were performed with this method. With no complications and no increase in operative time, the results were comparable to those of conventional videocholecystectomy, but with a superior aesthetic outcome. Conclusion: this technique is feasible and reproducible, with benefits for patient safety.
Keywords: laparoscopic cholecystectomy. cholecystitis, cholelithiasis, videocholecystectomy, videocholecystectomy, laparoscopic instruments, polymer clips
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