[Single port laparoscopic cholecystectomy in major ambulatory surgery (MAS)].

Abstract:

INTRODUCTION:Natural orifice endoscopic surgery is a new surgical procedure still in the development phase. The most natural entry for surgeons is to use an already existing scar, such as the navel. The recent introduction of trocars designed for this purpose has made it possible to put this into practice. MATERIAL AND METHODS:We present our preliminary experience in single trans-umbilical incision laparoscopic cholecystectomy, by means of a prospective study which included 26 patients operated on between January 2009 and January 2010. We also attempt to find out whether it can be performed in a MAS programme. RESULTS:All patients had uncomplicated cholelithiasis, although in 5 of them cholecystitis was identified during the surgery. The mean surgical time was 51.2 min. The mean hospital stay was 25.7h, and 76.92% of patients were admitted for less than 24h. There were no re-admissions or significant intra-operative or post-operative complications. CONCLUSIONS:On looking at our results, single port laparoscopic cholecystectomy could be included in a major ambulatory surgery programme.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

Martín Fernández J,Jara Sánchez A,Manzanares Campillo MC,Menéndez Sánchez P,Muñoz Atienza V,Padilla Valverde D,Villarejo Campos P,Angeles Gil-Olarte M,Arjona Medina I,Martínez De Paz F,Menchen Trujillo B

doi

10.1016/j.ciresp.2010.08.003

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

328-31

issue

5

eissn

0009-739X

issn

1578-147X

pii

S0009-739X(10)00326-X

journal_volume

88

pub_type

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