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Transumbilical multiple-port laparoscopic cholecystectomy using standard laparoscopic instruments.
M Tahir Oruc1, M Umit Ugurlu, Zehra Boyacioglu
1Kocaeli Derince Teaching and Research Hospital, Department of General Surgery, Kocaeli, Turkey. mtoruc@yahoo.com
Summary
Transumbilical multi-port laparoscopic cholecystectomy (TUMP-LC) without an access device is an effective alternative to standard laparoscopic cholecystectomy. This technique offers improved access while maintaining conventional surgical principles and instrumentation.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Single incision laparoscopic cholecystectomy (SILS) is increasingly adopted.
- Transumbilical multi-port laparoscopic cholecystectomy (TUMP-LC) offers a novel approach.
- This study evaluates TUMP-LC using standard instruments without an access device.
Purpose of the Study:
- To present the technique and initial clinical outcomes of TUMP-LC.
- To assess the feasibility and safety of TUMP-LC.
- To compare TUMP-LC with standard laparoscopic cholecystectomy.
Main Methods:
- Twenty-five patients with symptomatic cholelithiasis underwent TUMP-LC.
- Surgical outcomes including length of stay and complications were analyzed.
- Perioperative C-reactive protein (CRP) and visual analogue scale (VAS) for pain were measured.
Main Results:
- Mean operative time was 44.56 minutes; 8% required additional trocars.
- Postoperative pain scores (VAS) significantly decreased over 24 hours (p < 0.0001).
- CRP levels peaked at 6 hours and decreased by 24 hours (p < 0.0001); no major complications or conversions occurred.
Conclusions:
- TUMP-LC without an access device is a safe and effective alternative.
- The technique preserves standard laparoscopic principles with enhanced access.
- TUMP-LC demonstrates favorable clinical outcomes compared to standard procedures.