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A new modified layout for laparoscopic cholecystectomy

A A Bakr1

  • 1Department of Surgery, Faculty of Medicine, University of Cairo, Egypt.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|July 1, 1997
PubMed
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This study presents a safe and economical three-port laparoscopic cholecystectomy technique. The modified approach reduces trocar use and is comparable to standard methods.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common procedure.
  • The standard technique often utilizes four trocars.
  • Optimizing surgical efficiency and resource utilization is crucial.

Purpose of the Study:

  • To introduce an economic and convenient three-port modification for laparoscopic cholecystectomy.
  • To evaluate the safety and efficacy of this modified technique.

Main Methods:

  • A modified three-port layout was implemented for laparoscopic cholecystectomy.
  • The surgeon operated from the patient's left, with the assistant positioned between the legs.
  • The technique was applied to 119 consecutive patients over 24 months.

Main Results:

Related Experiment Videos

  • Laparoscopic cholecystectomy was successfully completed in 115 patients (96.6%).
  • Mean operative time was 35 minutes, with a low conversion rate (3.6%).
  • Total morbidity was 4.2%, and mean hospital stay was 1.8 days.

Conclusions:

  • The described three-port technique allows for safe and convenient laparoscopic cholecystectomy.
  • This method requires fewer resources (one assistant, one monitor, one less trocar).
  • Outcomes are comparable to the traditional four-trocar technique without prolonging operative time.