Related Experiment Videos
[Three-port transumbilical endoscopic cholecystectomy performed using conventional laparoscopic instruments]
Youzhu Hu1, Cunchuan Wang, Xianming Liu
1Center of Minimal Invasive Surgery, First Affiliated Hospital of Jinan University, Guangzhou, China. thuyz@jnu.edu.cn
Summary
Three-port transumbilical endoscopic cholecystectomy offers better cosmetic outcomes. This minimally invasive gallbladder surgery is a safe alternative for patients without severe adhesions, comparable in recovery to standard procedures.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- Conventional four-port laparoscopic cholecystectomy is standard.
- Transumbilical endoscopic techniques aim to reduce scarring.
- Evaluating novel approaches for gallbladder removal is crucial.
Purpose of the Study:
- To assess the clinical efficacy and safety of three-port transumbilical endoscopic cholecystectomy.
- To compare this technique with the conventional four-port method.
- To determine cosmetic outcomes and patient recovery.
Main Methods:
- A comparative study involving 32 patients (Group A) undergoing three-port transumbilical endoscopic cholecystectomy.
- Comparison with 96 patients (Group B) who had conventional four-port laparoscopic cholecystectomy.
- Use of conventional laparoscopic instruments for the transumbilical approach.
Main Results:
- All procedures were completed successfully without conversion to open surgery.
- Three-port group had longer operative times (39.7 min vs 25.3 min, P<0.001) but superior cosmetic results (P<0.001).
- Blood loss, bowel function recovery, hospital stay, and painkiller use were comparable; no complications occurred.
Conclusions:
- Three-port transumbilical endoscopic cholecystectomy is safe and feasible for select patients.
- This technique provides better cosmetic results than the standard four-port approach.
- It is a viable alternative for gallbladder removal in cases without severe pericholecystic adhesions.