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Related Experiment Videos

Transcylindrical cholecystectomy under local anesthesia plus sedation. A pilot study.

E J Grau-Talens1, J H Cattáneo, R Giraldo

  • 1Department of Surgery, Hospital Siberia-Serena, Talarrubias (Badajoz), Spain.

Endoscopy
|January 27, 2010
PubMed
Summary

Transcylindrical cholecystectomy under local anesthesia is a feasible and safe technique for gallstone disease. This minimally invasive approach offers economic benefits and high patient satisfaction, making it a viable alternative to traditional methods.

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Area of Science:

  • Minimally invasive surgery
  • Gastrointestinal surgery
  • Anesthesiology

Background:

  • Laparoscopic cholecystectomy under local anesthesia is rarely performed.
  • The transcylindrical cholecystectomy technique has been used for 15 years for gallstone-related conditions.
  • A prospective study was designed to evaluate this technique's feasibility.

Purpose of the Study:

  • To assess the feasibility of transcylindrical cholecystectomy under local anesthesia.
  • To evaluate the efficacy and safety of this minimally invasive approach.
  • To determine patient outcomes and satisfaction.

Main Methods:

  • Transcylindrical cholecystectomy performed gas-free via a single 3.8 cm x 10.0 cm cylinder.
  • Study included 60 patients with cholelithiasis, planned for local anesthesia.

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  • Postoperative assessment included pain (VAS) and patient satisfaction questionnaire.

    • Main Results:

    • Successful completion of the procedure in all patients.
    • Local anesthesia converted to general anesthesia in 21.7% of cases (technical issues, patient factors).
    • Low complication rates (wound infection 1.7%, seromas 3.3%, nausea 5%); minimal postoperative pain; high patient satisfaction.

    Conclusions:

    • Transcylindrical cholecystectomy under local anesthesia is feasible.
    • The technique offers advantages over traditional laparoscopic cholecystectomy.
    • It provides economic benefits and enhanced patient safety.