Optimizing pediatric laparoscopic cholecystectomy: trocar reduction with percutaneous gallblader traction

Area of Science:

• Minimally Invasive Surgery
• Pediatric Surgery
• Surgical Techniques

Background:

• Laparoscopic cholecystectomy traditionally uses four ports.
• Reducing port number optimizes surgical procedures.
• Surgical site exposure is critical for successful outcomes.

Purpose of the Study:

• To describe a novel percutaneous gallbladder traction technique.
• To evaluate port reduction in laparoscopic cholecystectomy.
• To maintain surgical site exposure with fewer ports.

Main Methods:

• Percutaneous gallbladder traction technique described.
• Laparoscopic cholecystectomy performed on 2 pediatric patients.
• Utilized umbilical port and two accessory ports with a laparoscopic loop for traction.

Main Results:

• All surgeries were completed successfully.
• Mean operative time was 90 minutes.
• Hospital stay ranged from 1-2 days with favorable postoperative progression.

Conclusions:

• Cholecystectomy with percutaneous gallbladder traction is safe.
• The technique is cost-effective and easily reproducible.
• It presents a potential alternative to the classic laparoscopic cholecystectomy.