Simplified laparoscopic cholecystectomy with two incisions

Abaid, Rafael Antoniazzi; Cecconello, Ivan; Zilberstein, Bruno

doi:10.1590/s0102-67202014000200014

Cited by 7 publications

(4 citation statements)

References 19 publications

(25 reference statements)

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“…Laparoscopic cholecystectomy has become the gold standard for surgical treatment of benign gallbladder disease. The advantages of this procedure compared to laparotomy include smaller incisions, reduced surgical trauma, less postoperative pain, faster recovery times, a shorter hospital stay, and faster return to normal activities and work 1 , 7 , 25 , 26 . The use of a single umbilical incision for gallbladder removal was an interesting innovation and single-incision laparoscopic cholecystectomy has gained momentum in the literature since its description by Navarra et al 21 .…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Immunological Profiles in Women Undergoing Conventional and Single-Port Laparoscopic Cholecystectomy

Borges

Takeuti

Terra

et al. 2016

ABCD, arq. bras. cir. dig.

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Background: Surgical trauma triggers an important postoperative stress response characterized by significantly elevated levels of cytokines, an event that can favor the emergence of immune disorders which lead to disturbances in the patient's body defense. The magnitude of postoperative stress is related to the degree of surgical trauma. Aim: To evaluate the expression of pro-inflammatory (TNF-α, IFN-γ, IL-1β, and IL-17) and anti-inflammatory (IL-4) cytokines in patients submitted to conventional and single-port laparoscopic cholecystectomy before and 24 h after surgery. Methods: Forty women with symptomatic cholelithiasis, ranging in age from 18 to 70 years, participated in the study. The patients were divided into two groups: 21 submitted to conventional laparoscopic cholecystectomy and 19 to single-port laparoscopic cholecystectomy. Results: Evaluation of the immune response showed no significant difference in IFN-γ and IL-1β levels between the groups or time points analyzed. With respect to TNF-α and IL-4, serum levels below the detection limit (10 pg/ml) were observed in the two groups and at the time points analyzed. Significantly higher postoperative expression of IL-17A was detected in patients submitted to single-port laparoscopic cholecystectomy when compared to preoperative levels (p=0.0094). Conclusions: Significant postoperative expression of IL-17 was observed in the group submitted to single-port laparoscopic cholecystectomy when compared to preoperative levels, indicating that surgical stress in this group was higher compared to the conventional laparoscopic cholecystectomy.

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Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Immunological Profiles in Women Undergoing Conventional and Single-Port Laparoscopic Cholecystectomy

Borges

Takeuti

Terra

et al. 2016

ABCD, arq. bras. cir. dig.

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“…From the aesthetic point of view, the marionette technique is superior to the conventional one, since this involves only two scars (umbilical and epigastric, Fig. 5) with the advantage of avoiding additional two incisions [20]. In some study, cosmesis considered the main outcome; however, there was evidence to support that, the inherent risks of this surgery are increased potentially by the technical difficulty associated with the 1-port technique [21].…”

Section: Discussionmentioning

confidence: 99%

Two-incision laparoscopic cholecystectomy performed via the “marionette” technique versus conventional laparoscopic cholecystectomy in pediatrics

2020

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Background: Laparoscopic cholecystectomy (LC) has considered the gold standard for the treatment of symptomatic gallstones. The "marionette" technique is a surgical technique for performing a safe, two-incision laparoscopic cholecystectomy without the use of an additional port or any new access devices. This study aimed to compare between the cost and outcome of two incisions LC performed via the marionette technique and the standard LC in pediatrics. Results: All 32 children with symptomatic cholecystolithiasis were discharged from the hospital in the first postoperative day with no statistically significant difference within days to return to normal work (p = 0.607). The operative time in the group (A) which included 16 children who underwent 2 incisions marionette style LC technique was non-significantly longer time (p = 0.184) than the group (B) which included 16 children who underwent conventional 4 incisions LC technique. Visual analog scores for pain showed a significant difference between both groups at 6 h and 12 h postoperative (p = 0.000 and 0.003, respectively). Overall patient in marionette group was very satisfied by fewer incision and better cosmesis. Conclusion: Marionette technique performed by an experienced surgeon among pediatric shows a statistically significant cost benefit while maintaining good operative time, less postoperative pain, and more patient's satisfaction and provides excellent aesthetic results.

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“…Several surgical options for TILC have been reported. [13][14][15][16] However, some options require special instruments during the operation, such as a 2-mm endoscopic grasper and a 000 monofilament nylon suture with a straight needle, which increase the costs to patients. Other options involve difficulty exposing the surgical visual field caused by inappropriate incision position.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic cholecystectomy with two incisions: an improved, feasible and safe technique with superior cosmetic outcomes

Wang

Dai

et al. 2020

J Int Med Res

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Objective Conventional laparoscopic cholecystectomy (CLC) is usually performed with four incisions. Minimally invasive surgery for gallbladder disease with less pain and smaller scars has become increasingly popular. This study reported a new, two-incision laparoscopic cholecystectomy (TILC) using conventional instruments. Methods In this prospective study, 43 patients were recruited to undergo TILC and were compared with 43 historical cases undergoing CLC. We evaluated operative time, postoperative pain, cosmesis and complications. Results There was no significant difference in gender, age, body mass index, bile duct damage, blood loss and postoperative hospital stay between the two groups. The mean operation time was longer with TILC than with CLC, but the difference was not statistically different. Postoperative pain scores were significantly lower with TILC than with CLC. The mean cosmetic satisfaction score was significantly higher with TILC than that with CLC. There was no significant difference in the incidence of complications between the two groups. Conclusion Our work demonstrates that TILC generates less postoperative pain and significantly improved cosmesis for patients. TILC is a safe and feasible alternative to CLC.

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Simplified laparoscopic cholecystectomy with two incisions

Cited by 7 publications

References 19 publications

Comparative Analysis of Immunological Profiles in Women Undergoing Conventional and Single-Port Laparoscopic Cholecystectomy

Comparative Analysis of Immunological Profiles in Women Undergoing Conventional and Single-Port Laparoscopic Cholecystectomy

Two-incision laparoscopic cholecystectomy performed via the “marionette” technique versus conventional laparoscopic cholecystectomy in pediatrics

Laparoscopic cholecystectomy with two incisions: an improved, feasible and safe technique with superior cosmetic outcomes

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