Abstract | OBJECTIVE: The aim of this pilot study was to assess the safety, feasibility, and short-term outcomes of transumbilical multiple-port laparoscopic cholecystectomy ( TUMP-LC), using conventional laparoscopic equipment, and to compare it with the currently published studies on single-incision laparoscopic Cholecystectomy. MATERIALS AND METHODS: RESULTS: Fifty patients completed our protocol. In 47 patients, TUMP-LC was completed successfully without any complications. In 2 patients, the procedure was converted electively to a standard four-incision laparoscopic cholecystectomy without any additional morbidity. In 1 patient, an additional epigastric 5-mm port had to be placed to control bleeding from the gallbladder fossa. One patient had a postoperative biliary leak from an accessory duct in the gallbladder fossa, which was managed by endoscopic retrograde cholangiopancreatography and biliary stenting. CONCLUSIONS:
TUMP-LC is both feasible and safe. It can be performed with standard laparoscopic instruments, and, thus, there is minimal additional challenge to an experienced laparoscopic surgeon. With progressive experience and development in technology, TUMP-LC will probably be performed widely. But, disciplined, evidence-based investigations and randomized studies comparing it to existing techniques must be carried out before the actual place of this procedure in current surgical practice is determined.
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Authors | Prabal Roy, Anushtup De |
Journal | Journal of laparoendoscopic & advanced surgical techniques. Part A
(J Laparoendosc Adv Surg Tech A)
Vol. 20
Issue 3
Pg. 211-7
(Apr 2010)
ISSN: 1557-9034 [Electronic] United States |
PMID | 20374010
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Aged
- Cholecystectomy, Laparoscopic
(instrumentation, methods)
- Feasibility Studies
- Female
- Humans
- Length of Stay
- Male
- Middle Aged
- Pain, Postoperative
- Postoperative Complications
- Prospective Studies
- Safety
- Treatment Outcome
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