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Related Experiment Videos

[Does the "Bergetrokar" decrease the rate of intraoperative complications in laparoscopic cholecystectomy?]

A Höferlin1, W Röder, K D Höhle

  • 1Chirurgische Abteilung, St.-Hildegardis-Krankenhaus Mainz.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 1, 1995
PubMed
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Laparoscopic cholecystectomy is safe, but gallbladder perforation can occur. Using the Bergetrokar for gallbladder extraction reduced complications and infection rates compared to literature.

Area of Science:

  • Laparoscopic surgery
  • Surgical techniques
  • Gastrointestinal surgery

Context:

  • Laparoscopic cholecystectomy is a widely adopted surgical procedure.
  • Gallbladder perforation during laparoscopic cholecystectomy can lead to severe complications.
  • Existing extraction methods may present technical challenges.

Purpose:

  • To evaluate the safety and efficacy of the 'Bergetrokar' device for laparoscopic gallbladder extraction.
  • To assess the complication rates, including gallbladder perforation and wound healing issues, associated with the 'Bergetrokar'.
  • To compare the outcomes of using the 'Bergetrokar' with existing literature data.

Summary:

  • A retrospective analysis of 352 laparoscopic cholecystectomies using the 'Bergetrokar' was conducted.

Related Experiment Videos

  • Gallbladder perforation occurred in 1.4% of cases, and wound healing issues in 0.85%.
  • Extraction failure with the 'Bergetrokar' was observed in 3.5% of cases, with lower rates than reported in literature.

    • Impact:

    • The 'Bergetrokar' facilitates safe extraction of the gallbladder, particularly when stone-filled.
    • Utilizing a lateral incision with the 'Bergetrokar' may reduce the infection rate at the umbilical port.
    • This technique offers a potential improvement in the safety profile of laparoscopic cholecystectomy.