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[Laparoscopic cholecystectomy using the Hasson trocar]

M Engelberg1, S Butrashvillie, R Gross

  • 1Dept. of General Surgery, Meir Hospital, Kfar Saba.

Harefuah
|April 15, 1994
PubMed
Summary
This summary is machine-generated.

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The Hasson open technique for laparoscopic cholecystectomy, using a blunt-tipped trocar, minimizes severe complications like organ perforation. This approach is recommended for safer gallstone disease treatment.

Area of Science:

  • Minimally invasive surgery
  • Surgical techniques
  • Gastrointestinal surgery

Context:

  • Laparoscopic cholecystectomy is the standard surgical treatment for symptomatic gallstone disease.
  • While advantageous, laparoscopic cholecystectomy carries risks of severe complications.
  • These risks include bowel/bladder perforation and major vascular injury.

Purpose:

  • To evaluate the safety and efficacy of the blunt-tipped Hasson trocar technique in laparoscopic cholecystectomy.
  • To demonstrate a method for reducing severe complications associated with the procedure.

Summary:

  • The study proposes the routine use of a blunt-tipped Hasson trocar via an open technique through a 2 cm infra-umbilical incision.
  • This method was successfully employed in 120 consecutive patients.

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  • The authors advocate for this specific technique as the preferred method for laparoscopic cholecystectomy.
  • Impact:

    • Routine use of the Hasson open technique can potentially prevent severe and lethal complications during laparoscopic cholecystectomy.
    • This approach may enhance patient safety in gallstone disease management.
    • The findings support the Hasson technique as a potentially superior method for laparoscopic cholecystectomy.