Article: Laparoscopic cholecystectomy can be performed safely with only three ports in the majority of cases.
2009 Volume 61, Issue 5-6, Page(s) 613–616
Abstract: Reducing the number of ports used to perform laparoscopic cholecystectomy (LC) is indicated as means of further minimising postoperative pain, allowing a rapid return to activity and work, and obtaining patient satisfaction and better cosmetic results. ... ...
| Abstract | Reducing the number of ports used to perform laparoscopic cholecystectomy (LC) is indicated as means of further minimising postoperative pain, allowing a rapid return to activity and work, and obtaining patient satisfaction and better cosmetic results. It is still debatable whether the three-port technique is comparably safe. Since 2001, 374 consecutive patients underwent laparoscopic cholecystectomy in elective and emergency surgery. Three ports were routinely positioned and the need for a fourth cannula was evaluated during the surgical procedure. Of the 374 consecutive cholecystectomies performed, 204 were completed with three ports and 161 needed a fourth port to be completed, while 9 required conversion to laparotomy. Patients who were operated on with just three ports were significantly younger and mostly female. Complications of procedures completed with three ports were negligible and those of procedures completed with four ports were in line with the recent literature. Our experience shows that the three-port technique is always a good initial option when performing laparoscopic cholecystectomy. It is safe and requires conversion to four-port placement in only a minority of cases overall. |
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| MeSH term(s) | Adult ; Aged ; Cholecystectomy, Laparoscopic/methods ; Cholecystitis/surgery ; Cholelithiasis/surgery ; Female ; Humans ; Male ; Middle Aged |
| Language | English |
| Publishing date | 2009-09 |
| Publishing country | Italy |
| Document type | Journal Article |
| ZDB-ID | 603591-7 |
| ISSN | 0009-4773 |
| ISSN | 0009-4773 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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