SciELO - Scientific Electronic Library Online

 
vol.64 número2Envejecimiento y alta prevalencia de estadios avanzados determinan la creciente mortalidad por cáncer mamario en ChileEfectos del bypass gástrico en el esófago de Barrett de pacientes con obesidad mórbida índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

SOLANO V, Nicolás  y  SOLANO R, Nicolás. Transumbilical laparoscopic cholecystectomy assisted with a second port. Experience in 60 patients. Rev Chil Cir [online]. 2012, vol.64, n.2, pp.147-154. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262012000200007.

Background: Transumbilical laparoscopic surgery offers substantial esthetic benefits. The use of a second port to introduce a second trocar, reduces the need of special or articulated instruments. Aim: To report the experience with transumbilical cholecystectomy, assisted using a second port, to reduce technical complexity. Patients and Methods: The surgical technique was prospectively evaluated in 60 patients aged 18 to 77 years (39 women), that required a cholecystectomy. All had a surgical risk classified according to the American Society of Anesthesiologists (ASA) as I or II. Patients with gallbladder cancer, choledocholithiasis, were excluded. Two trocar (10 and 5 mm) were introduced by transumbilical incision and other one 5 mm trocar was introduced in the right iliac fossa for 0° frontal optics. Results: The mean operative time was 72 minutes (range 35-165). Fifty seven patients had a 24 h hospital stay. Two patients had to be converted to open surgery due to a complex pedicle dissection and one patient required an additional trocar. There were three complications. An umbilical seroma, a bile leakage through a Luschka duct, that was managed conservatively and one bile tract stenosis, that appeared four months after the operation and required surgical repair. Conclusions: Transumbilical cholecystectomy using a second additional port was a successful procedure, with similar esthetic results as single port surgery, but less costly.

Palabras clave : Transumbilical surgery; cholecystectomy; laparoscopic surgery.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons