2009, Number 1
Substitution of two assistant ports in anti-reflux laparoscopic surgery
Dávila ÁF, Gutiérrez RL, Jesús SR, Dávila ÁU, Lemus AJ, Montero PJJ, Dávila ZMR
Full text
Language: Spanish
References: 9
Page: 13-17
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ABSTRACT
We present an antireflux surgery technique that replaces 2 ports of attendance as an alternative to the traditional laparoscopic technique, in order to improve aesthetic results and to diminish the risk to go unnoticed hepatic damage with the use of a retractor. From July 2004 to February 2005, 6 patients were operated of antireflux surgery, with an age between 11 to 65 years, using only 3 ports (1 umbilical port of 11 or 5 mm and 2 ports of attendance of 5 mm or 3.5 mm), with a surgical time average of 65 minutes. The port assigned for the hepatic retractor was replaced by a hook-needle and the port used for traction of the gastroesophagus junction, was replaced, as well, by a peridural catheter introduced by a Tuohy needle to abdominal cavity. The viability of the procedure was analyzed with respect to the traditional laparoscopic technique. The procedure was carried out in the 6 patients consecutively. The aesthetic aspect was improved when eliminating 2 ports of attendance, appropriate surgical exposure, lessen hepatic trauma, and decrease of costs being execute without using the conventional hepatic retractor. There was no conversion to traditional laparoscopic technique. At eliminating 2 ports of attendance, besides the improvement in the aesthetic aspect, was obtained greater amplitude of the operating field, lessen hepatic trauma and decrease of costs. It requires training in the use of percutaneous needles.REFERENCES