engleski

Laparoscopic cholecystectomy and appendectomy using suprapubic ports

Background: Laparoscopic procedures as cholecystectomy and appendectomy have been improved last several years. The goal is to improve the cosmetic result and recovery time modifying the operation technique, reducing the number and size of trocars, or moving two trocars in the suprapubic region. Our experience in performing cholecystectomy and appendectomy using three trocars and moving two ports below the pubic hairline is described. Methods: Between January 2002 and Mach 2006, 83 patients underwent cosmetic laparoscopic cholecystectomy and 68 underwent laparoscopic appendectomy with two suprapubic trocars. Results: The median operating time for cholecystectomy was 38.3± 9.9 min and appendectomy 36, 3± 8, 3 min. The hospital staying were 2.2± 0.6 days. None of the patients required additional trocars in the usual positions or conversion to open procedure. There were no intraoperative or postoperative complications during and after cholecystectomy. It was one postoperative ileus in patient operated of perforated gangrenous apendicitis. All patients reported satisfaction with their postoperative cosmetic results. Conclusion: Laparoscopic cholecystectomy and appendectomy with two suprapubic trocar is a safe procedure with good cosmetic results. However use of cosmetic cholecystectomy should be based on careful evaluation in each individual case.

Laparoskopska kolecistektomija ; apendektomija ; Suprapubični troakari

nije evidentirano