>Year 2005, Issue 3
Díazcontreras PCM, Zaldívar RFR
Laparoscopic cholecystectomy with three ports on the line alba. Does it present less morbidity?
Cir Gen 2005; 27 (3)
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Introduction:The increasing use of laparoscopic surgery has also increased, in a direct manner, the number of trocar-induced wounds; concentrating a high rate of complications (0.2 to 6.5%) at the site of trocar introduction. Reductions in the number of ports and of their caliber are determining factors in morbidity reduction.
Objective:To inform on the experience acquired with the use of placing the ports on the line alba, as well as to describe the corresponding technique and the mid-term results obtained with laparoscopic cholecystectomy.
Design:Prospective, descriptive, longitudinal study.
Setting:Third level health care hospital.
Patients and methods:From July 2003 to July 2005, 678 consecutive patients were subjected to laparoscopic cholecystectomy using three trocars placed on the line alba.
Results:Hundred-ninety-six (28.9%) patients were men and 482 (71.1%) were women. Average age was 40.7 years, SD ± 15.59. Forty two patients (6.2%) coursed with aggregated acute pancreatitis of biliary origin. Two cases of scarce bleeding due to the trocar were encountered during surgery without posterior hematoma. No conversions had to be made. After 18 months (range 4-24 months) of follow-up no infections or hernia at the site of puncture have been observed.
Conclusion:The use of trocars on the line alba with three ports is a safe and fast method with decreased morbidity (0.09%) and easy to implement.
||Line alba, laparoscopic cholecystectomy.
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>Year 2005, Issue 3