Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique
Aim:Laparoscopic cholecystectomy is the gold standard method for the treatment of gallstone disease. In this study, the two-port laparoscopic cholecystectomy technique was described.Materials and Methods:The inclusion criteria were having current or past biliary colic, risk of developing gallbladder...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayincilik
2023-06-01
|
| Series: | Namık Kemal Tıp Dergisi |
| Subjects: | |
| Online Access: |
http://namikkemalmedj.com/archives/archive-detail/article-preview/two-port-and-two-suture-modified-laparoscopic-chol/60627
|
| _version_ | 1797800207518269440 |
|---|---|
| author | Sami AÇAR Nuri Alper SAHBAZ |
| author_facet | Sami AÇAR Nuri Alper SAHBAZ |
| author_sort | Sami AÇAR |
| collection | DOAJ |
| description | Aim:Laparoscopic cholecystectomy is the gold standard method for the treatment of gallstone disease. In this study, the two-port laparoscopic cholecystectomy technique was described.Materials and Methods:The inclusion criteria were having current or past biliary colic, risk of developing gallbladder cancer, porcelain gallbladder, gallbladder polyp larger than 5 mm, and asymptomatic large gallbladder stones (>20 mm). The exclusion criteria were determined as having a suspicious malignancy, an American Society of Anesthesiologists score of 4 or 5, diagnosis of choledocholithiasis, a history of endoscopic retrograde cholangiopancreatography, past intra-abdominal surgery, and a body mass index >33 kg/m2.Results:Two-port laparoscopic cholecystectomy was performed in 48 patients. Eleven patients (22.9%) were operated on with a preliminary diagnosis of cholecystitis and 37 patients (77.1%) with a prediagnosis of cholelithiasis. While 39 (81.2%) patients had multiple stones in the gallbladder, 9 (18.8%) had a single stone. The mean gallbladder wall thickness was 4.3±1.7 mm (range 2-10 mm), and the mean stone diameter was 14.0±10.2 mm (range 2-40 mm). The mean operation time in the whole group was 63.4 (range 42-86) minutes. Complications developed in 3 (6%) patients, including 3 subcutaneous infections.Conclusion:For standard four-port cholecystectomy, the two-port and two-suture assisted technique is a good alternative for selected cases. It can be applied successfully and is cosmetically effective. |
| first_indexed | 2024-03-13T04:30:38Z |
| format | Article |
| id | doaj.art-1813bf0544464b21b0053d4c3a223d31 |
| institution | Directory Open Access Journal |
| issn | 2587-0262 |
| language | English |
| last_indexed | 2024-03-13T04:30:38Z |
| publishDate | 2023-06-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Namık Kemal Tıp Dergisi |
| spelling | doaj.art-1813bf0544464b21b0053d4c3a223d312023-06-19T13:11:35ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622023-06-0111217517910.4274/nkmj.galenos.2023.5002313049054Two Port and Two Suture Modified Laparoscopic Cholecystectomy TechniqueSami AÇAR0Nuri Alper SAHBAZ1 Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Tekirdağ, Türkiye Uluslararası Hisar Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye Aim:Laparoscopic cholecystectomy is the gold standard method for the treatment of gallstone disease. In this study, the two-port laparoscopic cholecystectomy technique was described.Materials and Methods:The inclusion criteria were having current or past biliary colic, risk of developing gallbladder cancer, porcelain gallbladder, gallbladder polyp larger than 5 mm, and asymptomatic large gallbladder stones (>20 mm). The exclusion criteria were determined as having a suspicious malignancy, an American Society of Anesthesiologists score of 4 or 5, diagnosis of choledocholithiasis, a history of endoscopic retrograde cholangiopancreatography, past intra-abdominal surgery, and a body mass index >33 kg/m2.Results:Two-port laparoscopic cholecystectomy was performed in 48 patients. Eleven patients (22.9%) were operated on with a preliminary diagnosis of cholecystitis and 37 patients (77.1%) with a prediagnosis of cholelithiasis. While 39 (81.2%) patients had multiple stones in the gallbladder, 9 (18.8%) had a single stone. The mean gallbladder wall thickness was 4.3±1.7 mm (range 2-10 mm), and the mean stone diameter was 14.0±10.2 mm (range 2-40 mm). The mean operation time in the whole group was 63.4 (range 42-86) minutes. Complications developed in 3 (6%) patients, including 3 subcutaneous infections.Conclusion:For standard four-port cholecystectomy, the two-port and two-suture assisted technique is a good alternative for selected cases. It can be applied successfully and is cosmetically effective. http://namikkemalmedj.com/archives/archive-detail/article-preview/two-port-and-two-suture-modified-laparoscopic-chol/60627 two port laparoscopic cholecystectomyminimally invasive surgerymethodsequipmentbenign gallbladder disease |
| spellingShingle | Sami AÇAR Nuri Alper SAHBAZ Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique Namık Kemal Tıp Dergisi two port laparoscopic cholecystectomy minimally invasive surgery methods equipment benign gallbladder disease |
| title | Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique |
| title_full | Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique |
| title_fullStr | Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique |
| title_full_unstemmed | Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique |
| title_short | Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique |
| title_sort | two port and two suture modified laparoscopic cholecystectomy technique |
| topic | two port laparoscopic cholecystectomy minimally invasive surgery methods equipment benign gallbladder disease |
| url |
http://namikkemalmedj.com/archives/archive-detail/article-preview/two-port-and-two-suture-modified-laparoscopic-chol/60627
|
| work_keys_str_mv | AT samiacar twoportandtwosuturemodifiedlaparoscopiccholecystectomytechnique AT nurialpersahbaz twoportandtwosuturemodifiedlaparoscopiccholecystectomytechnique |