Our surgical group makes endoscopic cholecystectomy with technique of an umbilical port since 1997. We have integrated other procedures with this technique like: appendectomy, hysterectomy, ovarian cystectomy, inguinal hernia repair, bile ducts exploration. The Purpose of this study is to prove that this technique is a viable choice in gallbladder surgery.
Method. Prospective study. A thousand five hundred patients were examined from December 1997 to May 2007; such patients presented symptoms of acute and no acute cholecystitis and needed to take them into surgery.
Laparoscopic cholecystectomy with only one port (LCOP) supports the use of percutaneous needles (hook needle, passing suture needle) and is performed with working channel laparoscope and with laparoscopic instruments of 5 mm x 43 cm.
We analyzed the following variables: surgical time, failures or conversions, hospitalization time, cost and cosmetics. We used Student’s t-test for analysis of variables.
Results.The hospital permanence was one day. The average in the surgical time was 68 minutes. The conversion to open cholecystectomy was 4%. There was also a conversion to traditional laparoscopic cholecystectomy in 2%. Traditional laparoscopic cholecystectomy used two ports of 5 mm and two ports of 12 mm Vs LCOP used 1 port of 12 mm, relation 4 to 1 ports.
We Conclude that cholecystectomy of only one port is applicable in 94% (P < 0.05) of cases with gallbladder disease. It improves the aesthetic results and it provokes an excellent psychological effect in the patients for acceptance of this surgery, and reduces cost, too.
Program Number: P312