Domínguez GM

Language: Spanish
References: 8
Page: 172-176
PDF size: 163.47 Kb.

ABSTRACT

Background: The benefits from traditional video-laparoscopic surgery may be improved through techniques increasingly less invasive, which reduce the parietal aggression and the risk of complications due to trocars.
Objective: To communicate a case of laparoscopic cholecystectomy with a single trocar at the umbilica scar level and the assistance of magnetic surgical device, for the treatment of vesicular lithiasis.
Place of treatment: Clinic of the Trinity-Mitre, Buenos Aires Autonomous City.
Population: Report of one case.
Results: This technique was performed on a patient having been diagnosed symptomatic vesicular lithiasis. Morbidity: 0%. Mortality: 0%. 24 hours of hospital stay. Optimum aesthetic results. A one month follow up period.
Conclusion: With the aid of magnetic surgical devices, we have succeeded on performing traction and counter-traction of the gallbladder, to carry out the cholecystectomy with a single trocar, reproducing the steps of the traditional laparoscopic cholecystectomy. We believe that these devices will be of great help at the time of performing «non scar surgeries».

REFERENCES

1. Gagner GM, García-Ruiz A. Technical aspects of minimally invasive abdominal surgery performed with needlescopic instruments. Surg Laparosc and Endosc 1998; 8: 171-9.

2. Dávila F, Weber A, Dávila U, Lemus J, López J, Reyes G, Domínguez V. Laparoscopic cholecystectomy with only one port (with no trace): a new technique. Scientific Session Abstracts SAGES. 1999; S29-58.

3. Dávila F. Colecistectomía laparoscópica con un puerto. Cirugía sin huella. México. Edit UNAM-FES Iztacala. 2002: 113-22.

4. Colecistectomía por videolaparoscopia con un trócar aporte de imanes de tierras raras. Depositado el 16 de febrero 2007. Dirección Nacional del Derecho de Autor Expediente N° 548315.

5. Magnetic surgical device to manipulate tissue in laparoscopic surgeries performed with a single trocar or via natural orifices. Solicitud de Patente de Invención en USA depositada el 7 de agosto 2007. N° 11/834.746.

6. Hunter JG. Avoidance of bile duct injury during laparoscopic cholecystectomy. Am J Surg 1991; 162: 71-76.

7. Strasberg SM, Herlt M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. Am Coll Surg 1995; 180: 101-25.

8. Sangtae P, Bergs RA, Eberhart R, Baker L, Fernandez R, Cadeddu JA. Magnetic positioning of intra-abdominal camera and retractor. Ann Surg 2007; 245: 379-84.