Rodríguez-Zamacona A, Guevara-López JA, Aragón-Quintana C

Language: Spanish
References: 9
Page: 73-77
PDF size: 195.85 Kb.

ABSTRACT

Background: The french technique of laparoscopic cholecystectomy solves gallstones with excellent results. Although this does not include studies in Mexico that contrast with the American technique. Objective: To compare the efficacy and safety of the French technique of laparoscopic cholecystectomy with the American technique. Material and Methods: A randomized clinical trial comparing the French and American techniques of laparoscopic cholecystectomy was performed. The trial included 50 patients in each group (n = 100). They were measured as efficacy parameters operative time, postoperative pain and hospital stay. To evaluate the safety we consider bleeding, bile duct injury and conversion. Significant differences (p ‹ 0.05) between both groups of patients were established. Results: The French technique showed less surgical time, pain, length of stay, bleeding and a lower tendency towards conversion. A single lesion of bile duct in the group of patients undergoing French cholecystectomy was presented. Conclusion: French technique represent an alternative of the cholecistectomy approache.

REFERENCES

1. Cooperman AM. Laparoscopic cholecystectomy —difficult cases and creative solutions. St. Louis: Quality Medical Publishing; 1992.

2. Dubois F, Icard P, Berthelot G, Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg. 1989; 211: 60-62.

3. Reddick EJ, Olsen DO, DAniell JF et al. Laparoscopic laser cholecystectomy. Laser Med Surg News Adv 1989, 38-40.

4. Perissat J, Collet D, Beliard R et al. Cholecystectomy par laparoscopic. J Chir (Paris). 1990; 127-347.

5. Nuzzo G, Giuliante F, Giovannini I et al. Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56,591 cholecystectomies. Arch Surg. 2005; 140: 986-992.

6. Hin-ichirou M, Kenji B, Tsutomu K et al. Critical view exposure using the “French” technique ensures patient safety during laparoscopic cholecystectomy. SAGES. 2012; P385.

7. Ruiz PCA, Cázares MJE, Muñiz CM, García RA. Dificultades técnicas en la colecistectomía laparoscópica. La “colecistectomía difícil”. Rev Mex Cir Endoscop. 2010; 11: 84-93.

8. Kramp KH, van Det MJ, Totte ER, Hoff C, Pierie JP. Ergonomic assessment of the French and American position for laparoscopic cholecystectomy in the MIS Suite. Surg Endosc. 2014; 28: 1571-1578. doi: 10.1007/s00464-013-3353 Epub 2014 Jan 1.

9. Carlomagno N, Santangelo M, Romagnuolo G, Antropoli C, La Tessa C, Renda A. Laparoscopic cholecystectomy: technical compromise between French and American approach. Presentation of an original technique. Ann Ital Chir. 2014; 85: 93-100.