Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits
IntroductionTransumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study aims to evaluate the efficacy and outcomes of TUL i...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-04-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1390038/full |
| _version_ | 1827276680885960704 |
|---|---|
| author | Antonia Rizzuto Cristina Bozzarello Jacopo Andreuccetti Angela Amaddeo Antonio Maria Iannello Carlo Sagnelli Roberto Cirocchi Diego Cuccurullo Giusto Pignata Francesco Corcione |
| author_facet | Antonia Rizzuto Cristina Bozzarello Jacopo Andreuccetti Angela Amaddeo Antonio Maria Iannello Carlo Sagnelli Roberto Cirocchi Diego Cuccurullo Giusto Pignata Francesco Corcione |
| author_sort | Antonia Rizzuto |
| collection | DOAJ |
| description | IntroductionTransumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study aims to evaluate the efficacy and outcomes of TUL in the management of gallbladder diseases.MethodsA retrospective analysis was conducted on a cohort of 2,543 patients who underwent TUL between 2011 and 2021 across various medical institutions in Italy. Data collection included demographic, clinical, intraoperative, and postoperative parameters. Standardized protocols were followed for preoperative and postoperative management. The TUL technique involved precise anatomical incision and trocar placement.ResultsThe study demonstrated favorable outcomes associated with TUL, including a low conversion rate to open surgery (0.55%), minimal intraoperative complications (0.16%), and short hospital stays (average 2.4 days). The incidence of incisional hernias was notably low (0.4%). Comparison with existing literature revealed consistent findings and provided unique insights into the advantages of TUL.DiscussionDespite limitations, such as the absence of a control group and the retrospective nature of the study, the findings contribute valuable insights to the literature. They inform surgical decision-making and advance patient care in laparoscopic cholecystectomy for gallbladder diseases.ConclusionTransumbilical laparoscopy shows promise as a safe and feasible technique for establishing pneumoperitoneum in laparoscopic cholecystectomy. The study's findings support its clinical benefits, including low conversion rates, minimal complications, and short hospital stays. Further research, including prospective studies with control groups, is warranted to validate these results and optimize patient outcomes. |
| first_indexed | 2024-04-24T07:03:52Z |
| format | Article |
| id | doaj.art-0669c1ee213a4b589e20b373bca3d34a |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-24T07:03:52Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-0669c1ee213a4b589e20b373bca3d34a2024-04-22T04:30:55ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-04-011110.3389/fsurg.2024.13900381390038Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefitsAntonia Rizzuto0Cristina Bozzarello1Jacopo Andreuccetti2Angela Amaddeo3Antonio Maria Iannello4Carlo Sagnelli5Roberto Cirocchi6Diego Cuccurullo7Giusto Pignata8Francesco Corcione9Department of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, ItalyDepartment of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, ItalyDepartment of General Surgery, Civil Hospital of Brescia, Brescia, ItalyDepartment of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, ItalyDepartment of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, ItalyDepartment of General, Mininvasive and Robotic Surgery, Colli Monaldi Hospital, Naples, ItalyDepartment of Medicine and Surgery, University of Perugia, Perugia, ItalyDepartment of General, Mininvasive and Robotic Surgery, Colli Monaldi Hospital, Naples, ItalyDepartment of General Surgery, Civil Hospital of Brescia, Brescia, ItalyDepartment of General Surgery, Federico II University Hospital, Naples, ItalyIntroductionTransumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study aims to evaluate the efficacy and outcomes of TUL in the management of gallbladder diseases.MethodsA retrospective analysis was conducted on a cohort of 2,543 patients who underwent TUL between 2011 and 2021 across various medical institutions in Italy. Data collection included demographic, clinical, intraoperative, and postoperative parameters. Standardized protocols were followed for preoperative and postoperative management. The TUL technique involved precise anatomical incision and trocar placement.ResultsThe study demonstrated favorable outcomes associated with TUL, including a low conversion rate to open surgery (0.55%), minimal intraoperative complications (0.16%), and short hospital stays (average 2.4 days). The incidence of incisional hernias was notably low (0.4%). Comparison with existing literature revealed consistent findings and provided unique insights into the advantages of TUL.DiscussionDespite limitations, such as the absence of a control group and the retrospective nature of the study, the findings contribute valuable insights to the literature. They inform surgical decision-making and advance patient care in laparoscopic cholecystectomy for gallbladder diseases.ConclusionTransumbilical laparoscopy shows promise as a safe and feasible technique for establishing pneumoperitoneum in laparoscopic cholecystectomy. The study's findings support its clinical benefits, including low conversion rates, minimal complications, and short hospital stays. Further research, including prospective studies with control groups, is warranted to validate these results and optimize patient outcomes.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1390038/fulltransumbilical laparoscopy (TUL)periumbilical laparoscopylaparoscopic cholecystectomyincisional herniapneumoperitoneum insufflation |
| spellingShingle | Antonia Rizzuto Cristina Bozzarello Jacopo Andreuccetti Angela Amaddeo Antonio Maria Iannello Carlo Sagnelli Roberto Cirocchi Diego Cuccurullo Giusto Pignata Francesco Corcione Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits Frontiers in Surgery transumbilical laparoscopy (TUL) periumbilical laparoscopy laparoscopic cholecystectomy incisional hernia pneumoperitoneum insufflation |
| title | Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits |
| title_full | Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits |
| title_fullStr | Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits |
| title_full_unstemmed | Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits |
| title_short | Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits |
| title_sort | transumbilical laparoscopy for pneumoperitoneum establishment a comprehensive multicentre evaluation affirming safety feasibility and a range of clinical benefits |
| topic | transumbilical laparoscopy (TUL) periumbilical laparoscopy laparoscopic cholecystectomy incisional hernia pneumoperitoneum insufflation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1390038/full |
| work_keys_str_mv | AT antoniarizzuto transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT cristinabozzarello transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT jacopoandreuccetti transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT angelaamaddeo transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT antoniomariaiannello transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT carlosagnelli transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT robertocirocchi transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT diegocuccurullo transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT giustopignata transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits AT francescocorcione transumbilicallaparoscopyforpneumoperitoneumestablishmentacomprehensivemulticentreevaluationaffirmingsafetyfeasibilityandarangeofclinicalbenefits |