Quintin Gonzalez, FACS, MD, Monica De Jesus, MD, Jesus Bahena, MD, Victoria Hernandez, MD. Humanitas Medical Group Coyoacan
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BACKGROUND: In recent years there have been many attempts to improve the laparoscopic technique in order to minimize tissue trauma and invasion by reducing the size and number, so it has begun the surgical technique of minimally invasive obtaining technological advantages and the minilaparoscopy and single-port laparoscopy better cosmetic results and postoperative pain.
MATERIAL AND METHODS: A retrospective study June 2015 a total of 40 patients divided into two groups was performed July 2018, group A was operated using percutaneous clamps MiniLapR and the B group intervened with point gel port single platform in from Mexico City, variables such as surgical time, days of hospital stay, postoperative pain, surgical incision and recovery time were noted.
RESULTS: A total of 40 patients, divided into two groups, group A operated using percutaneous clamps MiniLapR and the B group intervened with Gel point only port platform included surgery indication was benign diseases such as chronic cholecystitis symptomatic, dyskinesia and vesicular polyp. 72.5% were women with an average age of 40.6 years. Surgical time in group A (Minilap) was 12.1 min vs 14.7 single port, showing a statistically significant difference with a value of p = 0.005 using the Student t-test (table and graph No. 1), 98% of patients remained in the hospital 24hr withdrawing the next day, a patient was discharged after 72 hours for postoperative ileus the surgical incisions in the group A few times percutaneous Minilap forceps, both of 2.3mm previous infiltration with naropin and two 10 mm trocars and 5 respectively (image 1), the percutaneous wounds were confronted with steri-strips, the surgical incision in group B was 3 cm infraumbilical, using a gel platform with 4 trocars, placed in the shape of a rhombus (image 2) and faced with subdermal sutures, immediate postoperative pain is evaluated with EVA. (Table and graph 2)
CONCLUSIONS: This study shows that both groups have acceptable postoperative pain, short hospital stay, however in those patients treated with percutaneous MiniLap tweezers show a better satisfaction in terms of cosmetic results and for those patients managed with single port the surgical time is longer and for the surgeon, the position of the trocars is not very ergonomic since the operative field becomes very parallel, making difficult an adequate exposure of the anatomical structures which could impact the incidence of injuries.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94884
Program Number: P687
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster