World Journal of Laparoscopic Surgery

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VOLUME 4 , ISSUE 3 ( September-December, 2011 ) > List of Articles

RESEARCH ARTICLE

Scarless Cholecystectomy with Standard Laparoscopic Instruments in Selected Patients

Ali Aminian, Rasoul Mirsharifi

Citation Information : Aminian A, Mirsharifi R. Scarless Cholecystectomy with Standard Laparoscopic Instruments in Selected Patients. World J Lap Surg 2011; 4 (3):129-131.

DOI: 10.5005/jp-journals-10007-1129

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Laparoscopic cholecystectomy is a gold standard for treatment of gallstone-related diseases. We have now modified this technique and introduced scarless cholecystectomy with standard laparoscopic instruments. Patients with normal body mass index and with no previous history of acute cholecystitis are suitable candidates for scarless cholecystectomy. Operation is performed through two 10 mm ports placed just above and below the umbilicus. Surgical exposure is created by applying two traction sutures, one placed in fundus and another in infundibulum of gallbladder. The ends of these sutures are pulled out the abdomen by means of percutaneously inserted suture passer. Applying different traction to these stitches, enable appropriate exposure of the Calot's triangle and gallbladder bed for dissection. We have concluded that scarless cholecystectomy is technically feasible and safe. Further validation of this approach, however, awaits randomized clinical trials and accurate comparison with outcomes of more conventional approaches.


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  1. Two-port versus four-port laparoscopic cholecystectomy. Surg Endosc 2003;17:1624-27.
  2. Patient perception of natural orifice transluminal endoscopic surgery as a technique for cholecystectomy. Gastrointest Endosc 2008;67:854-60.
  3. Single port access laparoscopic cholecystectomy (with video). World J Surg 2009;33:1015-19.
  4. Single-port laparoscopic surgery: An overview. Surg Endosc 2009;23:1419-27.
  5. Onewound laparoscopic cholecystectomy. Br J Surg 1997;84:695.
  6. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 1999;9:361-64.
  7. Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg 1999;165:29-34.
  8. The invisible cholecystectomy: A transumbilical laparoscopic operation without a scar. Surg Endosc 2008;22:1211-13.
  9. Single port laparoscopic cholecystectomy with the TriPort system: A case report. Surg Innov 2008;15:223-28.
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