engleski

Cosmetic Laparoscopic Cholecystectomy

The procedure of laparoscopic cholecystectomy has been improved by modifying the operation technique, by reducing the number and size of trocars, or both. The intention is to improve the cosmetic outcome and recovery time. The next step to improve cosmetic results is moving two trocars below the pubic hairline. Our experience in performing cholecystectomy by a combination of European technique using three trocars and moving two ports below the pubic hairline is described. Results of 72 patients, ASA physical status I and II, who underwent cosmetic laparoscopic cholecystectomy between January 2002 and May 2005, are presented. The median operating time were 33.3± ; 9.9 min and hospital staying 2.2± ; 0.6 days. None of the patients required additional trocars in the usual positions or conversion to open cholecystectomy. There were no intraoperative or postoperative complications, and all patients reported satisfaction with their postoperative cosmetic results. 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.

cholecystectomy ; cosmetic ; laparoscopy

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