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. 2014 Apr-Jun;27(2):154-6.
doi: 10.1590/s0102-67202014000200014.

Simplified laparoscopic cholecystectomy with two incisions

[Article in English, Portuguese]
Rafael Antoniazzi Abaid  1 , Ivan Cecconello  2 , Bruno Zilberstein  2
Affiliations

Simplified laparoscopic cholecystectomy with two incisions

[Article in English, Portuguese]
Rafael Antoniazzi Abaid et al. Arq Bras Cir Dig. 2014 Apr-Jun.

Abstract
in English, Portuguese

Background: Laparoscopic cholecystectomy has traditionally been performed with four incisions to insert four trocars, in a simple, efficient and safe way.

Aim: To describe a simplified technique of laparoscopic cholecystectomy with two incisions, using basic conventional instrumental.

Technique: In one incision in the umbilicus are applied two trocars and in epigastrium one more. The use of two trocars on the same incision, working in "x" does not hinder the procedure and does not require special instruments.

Conclusion: Simplified laparoscopic cholecystectomy with two incisions is feasible and easy to perform, allowing to operate with ergonomy and safety, with good cosmetic result.

Racional: A colecistectomia videolaparoscópica vem tradicionalmente sendo realizada através de quatro incisões para inserção de quatro portais, de maneira simples, eficiente e segura.

Objetivo: Descrever técnica de colecistectomia videolaparoscópica simplificada com duas incisões, utilizando instrumental convencional básico.

Técnica: Na incisão da cicatriz umbilical aplicam-se dois portais e no epigástrio mais um portal. O uso de dois portais na mesma incisão, trabalhando em “x”, não dificulta a realização do procedimento e não requer instrumental especial.

Conclusão: A colecistectomia videolaparoscópica simplificada com duas incisões é técnica de fácil execução, permitindo operar com ergonomia, segurança e com bom resultado estético.

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Conflict of interest statement

Conflicts of interest: none

Figures

Figure 1
Figure 1
Positioning of the two trocars in single umbilical incision
Figure 2
Figure 2
Positioning of the instruments of labor and its ergonomic manipulation by the surgeon
Figure 3
Figure 3
Placement of clips closing the cystic duct
Figure 4
Figure 4
Dissection of the gallbladder with electrocautery
Figure 5
Figure 5
Insertion of the catheter in the cystic duct cholangiography and final aspect of the operation after 60 days
Figure 6
Figure 6
Comparison of positioning and handling of surgical instruments in laparoscopic operation with four and two incisions, demonstrating its application on ergonomic and comfortable way
See this image and copyright information in PMC

References

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