LAPAROSCOPIC CHOLECYSTECTOMY WITH SINGLE UMBILICAL TROCAR OF 12 MM AND AN OPTICAL DEVICE WITH A WORkING CANNEL, ASSISTED WITH PERCUTANEOUS NEEDLES AND MAGNETIC DEVICES. REPORT OF 80 CASES.

Abstract

Objective: To present our experience in the technique of laparoscopic cholecystectomy with single umbilical trocar. Headquarters: Department of General Surgery of two private hospitals. Design: Prospective, observational study. Patients and methods: 80 patients operated with the technique of laparoscopic cholecystectomy with single umbilical trocar of 12 mm and an optical device with a working channel: 74
attended with percutaneous needles and 6 adding magnetic devices, from October 2008 to August 31, 2010. Cases of choledocholithiasis, cancer and patients with previous abdominal surgery were excluded. Age, sex, body mass index (BMI), surgical time, hospital stay, complications, index of conversion and cosmetic result were analyzed. Results: Feminine sex predominated (5 to 1). The average age was 41 years. The surgical time average was 70 minutes. I.M.C. average 29. Addition of trocars was need in 7 patients (9%), there were no conversions to open surgery. The hospitalization time was 24 hours. Abdominal scar was not visible in 73 patients in whom the procedure with one trocar was completed (91%). Morbidity = 3.75%, mortality = 0%. Conclusion: The laparoscopic cholecystectomy with single
umbilical trocar of 12 mm and an optical device with a working cannel attended with percutaneous needles is applicable in 91%
of patients with gallbladder disease. With magnets satisfactory traction of the gallbladder was obtained, being very useful to perform
the technique “surgery without trace”.