Single access laparoscopic cholecystectomy: technique without the need for special materials and with better ergonomics

Pinto, Marco Aurélio Lameirão; Andrade, Raphael Fernando Costa Gomes de; Silva, Luiz Gustavo de Oliveira e; Pinto, Marco Aurélio de Lacerda; Muharre, Roberto Jamil; Leal, Ricardo Ary

doi:10.1590/0100-69912015005012

Cited by 2 publications

(4 citation statements)

References 7 publications

(4 reference statements)

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“…However, laparoscopy started to experience a boom by 1989, when Dr. Philippe Mouret, in Lyon, France, performed the first laparoscopic cholecystectomy. From that time on, the technique started to be considered a great advancement of digestive surgery 9 . However, according to Wolfe et al 10 , the emergence of minimally invasive surgery has led to an increase in the number of iatrogenic bile duct injuries, as many surgeons around the world have changed from the open surgery paradigm to these procedures without any prior training.…”

Section: Ircad and The Importance Of Surgical Skills Trainingmentioning

confidence: 99%

Ten years of IRCAD, Barretos, SP, Brazil

et al. 2022

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Minimally invasive surgery represented a significant milestone in modern surgery; however, continuous innovation and the emergence of new technologies pose new challenges in terms of surgical learning curves since new interventions are associated with increased surgical complexity and a higher risk of complications. For this reason, surgeons are aware of the beneficial effects of "learning before doing" and the importance of safely implementing new surgical procedures in order to obtain better patient outcomes. Considered the largest Latin American training center in minimally invasive surgery, IRCAD Barretos, São Paulo, Brazil, makes it possible to acquire surgical skills through training in different and the most complex areas of medicine, providing the experience of real and simulated situations, with focus on innovation. The center possesses state-of-the-art infrastructure and technology, with a very high-level teaching staff and an affectionate and hospitable reception. Since its inauguration, in 2011, the center has already qualified numerous professionals and has placed the country in a privileged position in terms of surgical knowledge. The present article describes the activities developed over these ten years of the institute in Brazil as the largest training center for surgeons of the continent in order to address the importance of surgical skills training.

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Section: Ircad and The Importance Of Surgical Skills Trainingmentioning

confidence: 99%

Ten years of IRCAD, Barretos, SP, Brazil

et al. 2022

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“…Currently, laparoscopic access is the gold standard for treating a variety of comorbidities, such as cholecystitis and appendicitis 5 , 6 . The main advantages include faster recovery, lower surgical site infection rates, less bleeding and postoperative pain, and a quicker return to daily activities, as well as aesthetic benefits 6 , 7 .…”

Section: Introductionmentioning

confidence: 99%

“…Surgical laparoscopy is recent: the first gastrointestinal tract surgery by this method was a minimally invasive appendectomy performed by Kurt Semm in 1980 1,2 . The world's first laparoscopic cholecystectomy was performed by Erich Muhe in Germany in 1985, and this surgery was first performed in Brazil by Thomaz Szego in 1990 [1][2][3][4][5] .…”

Section: ■ Introductionmentioning

confidence: 99%

“…To perform any laparoscopic surgery, the abdominal cavity must be insufflated with CO 2 pneumoperitoneum to provide adequate surgical space for instrument and tissue manipulation [5][6][7][8] . Since minimally invasive surgery has only become popular in the last three decades, the safety and adequacy of its technical aspects must still be verified, including the safety of pressurized CO 2 2-5 .…”

Section: ■ Introductionmentioning

confidence: 99%

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Does CO2 pneumoperitoneum in laparoscopy interfere with collagen deposition in abdominal surgical wounds?

et al. 2020

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Purpose To determine by histomorphometric analysis whether CO 2 pneumoperitoneum interferes with collagen deposition in surgical wounds in the aponeurosis of rats. Methods This experiment involved 80 male Wistar rats, randomly allocated into four groups according to pneumoperitoneum period (PRE: 30 min preoperatively; POST: 30 min postoperatively; PP: 30 min pre- and postoperatively; C: control group). CO 2 pneumoperitoneum was insufflated to 5 mmHg of pressure. A laparotomy was performed; 1 cm of the left colon was then resected, and an end-to-end anastomosis was performed to simulate surgical trauma, after which the abdominal wall was closed. On postoperative days 7 or 14, a sample of the abdominal wall was collected, stained with picrosirius red and observed under polarized light in an optical microscope. The amount of collagen was estimated by computerized histomorphometric analysis. Results There were no significant differences in collagen deposition between the control and experimental groups on postoperative days 7 (p=0.720) or 14 (p=0.933). The amount of collagen increased as expected in all groups between postoperative days 7 and 14 (p=0.0003). Conclusion At 5 mmHg, CO 2 pneumoperitoneum does not interfere with collagen deposition in abdominal wall surgical wounds in rats.

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Single access laparoscopic cholecystectomy: technique without the need for special materials and with better ergonomics

Cited by 2 publications

References 7 publications

Ten years of IRCAD, Barretos, SP, Brazil

Ten years of IRCAD, Barretos, SP, Brazil

Does CO2 pneumoperitoneum in laparoscopy interfere with collagen deposition in abdominal surgical wounds?

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