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Modified optical port entry site for laparoscopic cholecystectomy: Our experience
Pravin Shinde1, Aarsh Gajjar2, Rajiv Karvande1
1Department of General Surgery, Seth GSMC and KEM Hospital Parel, Mumbai, India.
Polski Przeglad Chirurgiczny
|February 13, 2024
Summary
This study demonstrates the safety and feasibility of a modified optical port technique for laparoscopic cholecystectomy in gallstone disease. The approach offers good patient satisfaction and reduces incisional hernia risk.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Oncology
Background:
- Laparoscopic cholecystectomy is standard for gallstone disease.
- Conventional techniques utilize a 10 mm optical trocar.
- Port site hernias are a known complication.
Purpose of the Study:
- To assess the feasibility and safety of a modified optical port entry site in laparoscopic cholecystectomy.
- To evaluate a technique using a 5 mm optical trocar.
- To determine patient satisfaction and complication rates.
Main Methods:
- Prospective study of 60 patients with simple gallstone disease.
- Modified technique used a 5 mm optical trocar at a flexible entry site.
- All procedures performed by a single surgeon.
Main Results:
- Successful completion of laparoscopic cholecystectomy in all 60 cases.
- Mean operative time was 30 minutes.
- No conversions to open surgery or intraoperative mishaps occurred.
- Follow-up ranged from 10 to 14 months.
Conclusions:
- The modified optical port technique is feasible and safe for laparoscopic cholecystectomy.
- This approach may reduce the risk of trocar site incisional hernias.
- The technique is associated with good patient outcomes and satisfaction.
