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2013, Number 6

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Rev Med Inst Mex Seguro Soc 2013; 51 (6)

Laparoscopic cholecystectomy with three-port and 25 millimeters long incision

Gómez Tagle-Moralesa ED

Language: Spanish
References: 17
Page: 662-667
PDF size: 190.56 Kb.


ABSTRACT

Background: three-port and 25 mm total incision laparoscopic cholecystectomy has shown benefi ts compared to conventional laparoscopy. The aim was to examine the safety and feasibility of this technique.
Methods: a three-port laparoscopic cholecystectomy trial was conducted through Cinvestav metasearcher, Seriunam and Rencis. The eligibility criteria were: three port laparoscopic cholecystectomy, 25 mm total incision, and score ≤ 17 on Data Review System. Trials which employed instruments smaller than 5 mm in diameter were excluded. The comparative variables were documented and results obtained in the selected trials were described.
Results: four trials were selected, comprising 1767 cases (1329 females and 438 males), average age was 44.3 years. Chronic cholecystitis was documented in 84.3 %, and acute cholecystitis in 14.7 %. Average surgical time was 54.5 minutes. An additional port was required in 4.8 % and 1.4 % was converted to open technique. Bile duct injury was presented in 0.11 %. The success rate was 94.9 %.
Conclusions: three port and 25 mm total incision in laparoscopic cholecystectomy is safe and feasible.


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