engleski

Laparoscopic cholecystectomy: an original three- trocar technique

Laparoscopic surgery is part of the minimally invasive surgery. Its aim is to make the operation as valuable as the open one, or even better, without remarkable invasion or injury of the body. With the instruments' improvement the operation would be possible without any remarkable organism injury. At the other hand, modifications of the operations' techniques lead to progress. European technique of laparoscopic cholecystectomy using four trocars has been changed. Procedure was performed with one trocar less. Two groups of two hundreds patients each have been laparoscopic cholecystectomised. The operation in the first group was performed using four and in the second group using three trocars. The aim of the investigation was to compare these two methods of laparoscopic cholecystectomy. The results' analysis showed that laparoscopic cholecystectomy using three trocars did not cause either a higher complications rate, prolonged average operation time or longer duration of hospitalisation. The analgesic's consumption was lower, sick-leaves were shorter, with smaller total costs, and cosmetic effect was better.

laparoscopic cholecystectomy ; three trocars

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