THREE PORTS laparoscopic cholecystectomy, Clinical AMIGA Experience – Cali, December 2011-December 2014

Claudia Ximena Millan Matta, phd, Monica Torres, phd. Clinical amiga – colombia

Introduction: Since about 30 years ago described the first laparoscopic cholecystectomy; modifications have been made to the standard technique. Innovative ways to approach; like surgery through natural orifices or transumbilical approaches they have been described.
Secure more accepted technique has been under the use of 4 ports; but recently some working groups have been showing satisfactory results with the use of 3 ports. The experience of one of these displays. 
To describe the results of a retrospective cohort (3 years), a group of patients undergoing laparoscopic cholecystectomy three ports in Clinical AMIGA – Cali.

Analyze: surgical time, conversion rate, perioperative and late complications, including the dreaded injury to the bile duct.

Material and Method: a retrospective analysis of 1641 patients undergoing laparoscopic cholecystectomy using 3 ports, from December 2011 to December 2014 (3100 patients). Collection of data in a format called REC3PORT; emphasizing epidemiology, conversion rate to open surgery, surgical time and complications. Later transferred to a digital base for interpretation.

Results: The average operative time was similar to the series using standard techniques; conversion rate and perioperative complications are comparable to other series. Hospital stay and postoperative outcomes were similar to the boarding for 4 ports. IN THIS SERIES OF CASES NOT FOUND injury Biliary

Conclusion: Laparoscopic cholecystectomy three ports in our series of patients, I evidenced to be a safe, adequate and reproducible technique in a group trained general surgeons.

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