Document Detail


Three-port laparoscopic cholecystectomy by harmonic dissection without cystic duct and artery clipping.
MedLine Citation:
PMID:  16647368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The technique of laparoscopic cholecystectomy (LC) still has areas of refinements. To decrease the number of ports, a cannula may be replaced by a percutaneous suture suspension of the gallbladder. The risk of tissue injury caused by repeat blind extraction and insertion of various instruments in and out of the abdomen may be decreased by the use of the multipurpose harmonic dissector. METHODS: One hundred consecutive patients with symptomatic cholelithiasis underwent 3-port LC entirely performed by harmonic dissector without cystic duct and artery clipping. RESULTS: In 8 cases, a fourth trocar was necessary. In 2 cases, the cystic duct was clipped after an unsafe ultrasound sealing. In 1 case, continuous bleeding from the liver required the use of diathermy. No common bile duct injury was registered. CONCLUSIONS: The 3-port harmonic LC is a feasible, effective, and safe technique.
Authors:
Giovanni D Tebala
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  191     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-01     Completed Date:  2006-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  718-20     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Laparoendoscopic Unit, Aurelia Hospital, Via Aurelia 860, 00165 Rome, Italy. gtebala@alice.it
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MeSH Terms
Descriptor/Qualifier:
Cholecystectomy, Laparoscopic / methods*
Cholelithiasis / surgery*
Common Bile Duct / surgery*
Equipment Design
Gallbladder / blood supply*
Humans
Laparoscopes*
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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