Cosmetic Laparoscopic Cholecystectomy

Abstract

According to our experience, cosmetic laparoscopic cholecystectomy is a safe procedure with good cosmetic results; however, its use should be based on careful evaluation in each individual case.

Hidden laparoscopic access (HiLA) cholecystectomy – first results

“…In detail, we found no procedure-dependent complications according to other authors [10,12]. Gallbladder injuries occurred more often in 3 trocar technique, but this was influenced by factors like change from 4 to 3 trocars, introduction of a further operator to the technique, and increasing difficult operative situs.…”

“…The NOTES discussion influenced many surgeons and led to several new variants performing laparoscopic cholecystectomies [2][3][4][5][6][7][8][9][11][12][13][14]. Even though the use of variable and individually designed accesses was performed through the years [10], nowadays the use of access routes leaving almost "invisible" scars is a principle in these reported techniques.…”

“…Degano et al [10] described their experience in 1995, Cala et al [12] emphasized its cosmetic aspects in a bigger series. Bachmann et al [11] suggested its use for cholecystectomy and presented a case report.…”

“…HiLA-cholecystectomy using an umbilical and suprapubic approach leaves hidden scars and thus comes close to cosmetic demands, as pointed out by Cala et al [12], but is also acclaimed by similar techniques [2][3][4][5][6][7][8][9][10][11][12][13][14]. But more than this, it is a way to perform laparoscopic cholecystectomy in patients with dermal diseases, e.g.…”

“…Alternatively, some authors suggested a hidden or covered laparoscopic access (HiLA/CoLA) using trocar positions in the umbilicus and the suprapubic region [10][11][12][13] or using additional 3 mm accesses [14]. We report on our results using the HiLA-cholecystectomy.…”