Instruction of laparoscopic cholecystectomy in acute cholecystitis using single-incisional laparoscopic surgery device

Abstract

The PP (mean length=25.2 mm; 10-100) was harvested from the falciform ligament (n=48), hypochondrium (n=23), diaphragm (n=19), or prerenal (n=16) area. Reconstruction was lateral in 101 patients, including 14 (14%) with resection of > 75% of the vascular lumen, and tubular in 5 patients. In 14 patients the need for a graft was urgent. Postoperative anticoagulation was standard and venous patency and stenosis was assessed by routine CT scans. The mean radiological follow-up was 19 (2-65) months. Result: The mean age was 62 (31-84), 38 (36%) were females and 28 (26%) were transfused. One non related mortality, overall morbidity (n=52; 49%) and the mean hopsital stay was 19(6-75). There was no PP-related or haemorraghic complications and only one reintervention for symptomatic venous thrombosis. R1 resection in 34 (32%) patients including 6 (6%) R1 venous (<1mm). The patency rate was 97/106 (92%) and complete thrombosis (n=9) was mainly observed after tubular reconstruction (n=3) and distal pancreatectomies (n=4). Conclusion:The PP showed a high patency rate without any significant related complications and should be the first choice when a lateral venous reconstruction is needed.