Transumbilical Multi-Mini Port Clipless Cholecystectomy Without Using Triport

Muhammad Nadeem, HOUSE, OFFICER, Mustafa Kamal Pasha, Professor. Nishtar Medical College And Hospital.

Transumbilical multi-mini port clipless laparoscopic cholecystectomy is a novel laparoscopic surgical technique for cholecystectomy utilizing only a transumbilical incision, which eliminates any visible abdominal scars and improves cosmesis. This pilot study was conducted to assess the safety, feasibility, and short-term outcomes of transumbilical multimini port clipless laparoscopic cholecystectomy using conventional laparoscopic equipment. Transumbilical multi-mini port clipless cholecystectomy without using the triport technique takes about 55 minutes less time. After the initial expense of buying a Harmonic scalpel, it is economical for patients in poor countries that cannot afford the expensive triport. Fifteen patients (14 females average age 40 years and 1 male age 45 years) underwent laparoscopic cholecystectomy. To reduce the cost, an innovative technique was used in which 3 small incisions were made along the edge of the umbilicus in a “J” fashion. The duration of surgery was 55±20 minutes. Blood loss, patient recovery, and outcomes were comparable to those of using the triport technique, so this single-port technique is feasible for performing routine laparoscopic procedures

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