Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Microlaparoscopic cholecystectomy with an unorthodox scope position.

Salmai Turial1, Veronika Engel, Felix Schier

  • 1Department of Pediatric Surgery, University Medical Centre, Mainz, Germany. salmai.turial@unimedizin-mainz.de

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|January 6, 2011
PubMed
Summary

Microlaparoscopic cholecystectomy (MLCE) in children is safe and feasible, reducing trauma and operative time. This technique offers superior cosmetic outcomes by minimizing umbilical scarring.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Feasibility of Vibroacoustic Sensing for Detection of Peritoneal Entry During Laparoscopic Access: A Pilot Study in a Human Body Donor.

Diagnostics (Basel, Switzerland)·2026
Same author

[Vascularsurgical Care in Childhood].

Zentralblatt fur Chirurgie·2025
Same author

Enhancing Veress Needle Entry with Proximal Vibroacoustic Sensing for Automatic Identification of Peritoneum Puncture.

Diagnostics (Basel, Switzerland)·2024
Same author

Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix-A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial.

Medicina (Kaunas, Lithuania)·2023
Same author

Evaluating Cardiac Lateralization by MRI to Simplify Estimation of Cardiopulmonary Impairment in Pectus Excavatum.

Diagnostics (Basel, Switzerland)·2023
Same author

Prevalence and One-Year Survival of Selected Major Congenital Anomalies in Germany: A Population-Based Cohort Study.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie·2022

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Laparoscopic Cholecystectomy

Background:

  • Microlaparoscopic cholecystectomy (MLCE) utilizes smaller instruments for gallbladder removal.
  • Conventional laparoscopic cholecystectomy can lead to visible scarring, particularly in pediatric patients.
  • Optimizing trocar placement is crucial for surgical efficacy and cosmetic results.

Purpose of the Study:

  • To evaluate the initial experience and feasibility of microlaparoscopic cholecystectomy (MLCE) in pediatric patients.
  • To assess the safety and outcomes of a modified trocar placement technique for MLCE.
  • To determine if MLCE can reduce surgical trauma and improve cosmetic results in children.

Main Methods:

  • MLCE was performed in 12 children using a 2.4-mm mini-scope placed to the right of the umbilicus.

Related Experiment Videos

  • The umbilicus served as the working port for larger instruments.
  • Trocar positions were adjusted to maintain the standard triangulation principle while optimizing access and visualization.

    • Main Results:

    • MLCE was successfully completed in all 12 pediatric patients (average age 15 years).
    • Adequate visualization of the critical structures was achieved.
    • No specific complications related to the modified trocar placement or mini-scope use were observed.

    Conclusions:

    • Microlaparoscopic cholecystectomy (MLCE) is a safe and feasible surgical option for children.
    • This technique potentially reduces surgical trauma and operative time.
    • MLCE facilitates superior cosmetic outcomes by minimizing umbilical incision impact.