Total Sharp dissection for laparoscopic cholecystectomies

Daniel Gomez, MD, Pedro Villadiego, MD, Cesar Guevara, MD, Cristian Gomez, MD. CPO

Introducction
Laparoscopic cholecystectomy is a minimally invasive and highly effective technique that have become the current standard of care for gallstone disease.
Several minimally invasive aproaches have been developed such as híbrid procedures, single port or minilaparoscopy between others, showing no great differences respect acute and long term complications when compared with the standard procedure.

Objective
We present a case series of Laparoscopic cholecystectomies describing a total sharp dissecction for this procedure.

Methods
We performed 317 consecutives laparoscopic cholecystectomies in a single institution ( November 2013 – September 2014) by using a total scissors sharp disecction from the cholecystoduodenal ligament until getting a security critical view as described .
Récords were reviewed for demographic data, mean operative time, length of hospital stay and intra or postoperative complications.

Results
317 patients were performed 237 females, 80 males
All procedures were carried out succesfully
Mean operative time: 23.7 minutes
Mean hospital stay: 8.6 hours outpatient care
No conversions
We registered no major complications or re-intervention

Conclusions
Laparoscopic cholecystectomies has become the standard of care for gallstone disease because of all the benefits described in current literature, however complications rates remains statistically steady no matter technology has advanced sinced it was first introduced the laparoscopic aproach. In our series we have come back to an old fashion way to perform this procedure, sorprisingly founding that the classic technique for cholecystectomy still proof to be safe and low morbid.