Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Akoğlu, Musa; Bostancı, Erdal Birol; Çolakoğlu, Muhammet Kadri; Aksoy, Erol

doi:10.1177/000313481708300321

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…These findings are consistent with earlier research [8,10,13,14]. Other investigations [6,12,[15][16][17], on the other hand, conversion to open surgery, intraoperative complications, an extra port insertion in the upper abdomen, and long instruments were reported. The two 11-mm ports might be changed for 5-mm ports to improve the aesthetic effects.…”

Section: Discussionsupporting

confidence: 92%

Bikini Line Approach for Cosmetic Laparoscopic Cholecystectomy

2022

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Four-port laparoscopic cholecystectomy (LC) is a standard procedure. Several alternative approaches have been described to make trocar scars invisible. This study describes and was successfully administered as a pilot for feasibility and safety of a bikini line port for better aesthetic results. In patients with symptomatic cholelithiasis undergoing LC between June 2021 and December 2021, bikini line ports were used in 67 patients. With the patient in the supine position, the first trocar (11 mm) was inserted into the abdomen through the umbilicus. The other three trocars were placed in the lower abdomen at the bikini line with the help of the camera. Standard instruments were used to perform the surgery. The mean operative time was 54.66 SD 14.1 min. No intraoperative or postoperative adverse events took place. The median follow-up for this cohort was 24 weeks. Cosmetic results were satisfactory for all patients. The use of one umbilical camera port and the other three ports in the bikini line in the lower abdomen completely hides the scars from the ports’ incision. The technique was quickly adopted by regular laparoscopic surgeons with usual instruments, much to the satisfaction of patients.

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Section: Discussionsupporting

confidence: 92%

Bikini Line Approach for Cosmetic Laparoscopic Cholecystectomy

2022

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“…1 After this stimulating event, various modifications of LC have been developed year by year, including three-port, two-port, and single-port LC. 2 In the era of laparoscopic surgery, the treatment of benign common bile duct (CBD) diseases remains a topic of interest due to its surgical complexity. [3][4][5] Most CBD interventions are done with open surgery or endoscopically secondary to gallstone obstruction.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cholecystectomy and Common Bile Duct Exploration Using Choledochotomy and Primary Closure Following Failed Endoscopic Retrograde Cholangiopancreatography: A Multicentric Comparative Study Using Three-port vs Multiport

Pedraza¹,

Cabrera²,

Pulido³

et al. 2020

World Journal of Laparoscopic Surgery With DVD

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Background: Laparoscopic surgery has changed many ways in which we as surgeons manage patients, offering better results, quicker recovery, and fewer complications using minimally invasive techniques, especially in common bile duct (CBD) surgery. Not only can laparoscopic techniques be applied to programed surgery but also emergencies and those following failed endoscopic retrograde cholangiopancreatography (ERCP). Objectives and aims: Describe and compare clinical and surgical results of the laparoscopic CBD exploration with primary closure using a 3-port vs multiport approach. Materials and methods: We present a multicentric comparative study of 197 consecutive patients who underwent a laparoscopic gallbladder removal along with CBD exploration with primary closure following failed (ERCP to extract CBD stones; 104 patients were managed by threeport vs 93 multiport laparoscopic surgery in five centers of Bogotá, Colombia, between 2013 and 2017 with follow-up of 1 year. Results: A total of 197 patients were taken to laparoscopic gallbladder removal along with CBD exploration with primary closure, 104 patients via three-port technique and 93 patients via multiport. All (100%) the patients had previously failed ERCP. The average surgical time on the three-port approach was 106 minutes vs 123 minutes on multiport. Only in the multiport technique we had an average conversion of 2%. Mean hospital stay of 2.5 days, less for the three-port approach vs multiport in 5-7 days. There was a need of reintervention in 1% of the patients who underwent three-port exploration. Conclusion:Postoperative pain, use of an additional port, complication rates, operation time, and cost of the three-port technique were similar to those of the conventional approach. Large randomized controlled trials are needed to examine the true benefits of the three-port technique.

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Three-Port, Two Located on the Pfannenstiel Line, Laparoscopic Cholecystectomy Comparison with Traditional Laparoscopic Cholecystectomy

Cited by 2 publications

References 15 publications

Bikini Line Approach for Cosmetic Laparoscopic Cholecystectomy

Bikini Line Approach for Cosmetic Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy and Common Bile Duct Exploration Using Choledochotomy and Primary Closure Following Failed Endoscopic Retrograde Cholangiopancreatography: A Multicentric Comparative Study Using Three-port vs Multiport

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