Optimizing pediatric laparoscopic cholecystectomy: trocar reduction with percutaneous gallblader traction.

G M Gavilanes Salazar, O B Grijalva Estrada, A Sáenz Dorado, I Ibarra Rodríguez, R Ramírez Díaz, J Bueno Recio
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Abstract

Objective: Laparoscopic cholecystectomy is typically carried out using four ports. The objective of this study was to describe the percutaneous gallbladder traction technique, which allows the number of ports to be reduced, thus optimizing the procedure, with a similar exposure of the surgical site.

Materials and methods: 2 pediatric patients with symptomatic cholelithiasis underwent laparoscopic surgery from January 2021 to January 2024. Cholecystectomy was performed using an umbilical port (5 mm, 30-degree scope) and two accessory ports. A laparoscopic loop with a running knot was used to conduct percutaneous gallbladder traction at the right intercostal level.

Results: All surgeries were successfully completed. Mean operating time was 90 minutes. Hospital stay was 1-2 days. Postoperative progression was favorable in all patients.

Conclusions: These results confirm that cholecystectomy with percutaneous gallbladder traction is safe, cost-effective, and easily reproducible, which means it can be an alternative to the classic technique.

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优化小儿腹腔镜胆囊切除术:通过经皮胆囊牵引减少套管。
目的:腹腔镜胆囊切除术通常使用四个孔进行。本研究的目的是描述经皮胆囊牵引技术,该技术可减少端口数量,从而优化手术过程,同时手术部位的暴露情况相似。材料和方法:2021 年 1 月至 2024 年 1 月期间,2 名患有症状性胆石症的儿科患者接受了腹腔镜手术。胆囊切除术使用一个脐孔(5 毫米,30 度镜)和两个辅助孔进行。使用腹腔镜环形结在右肋间水平进行经皮胆囊牵引:结果:所有手术均顺利完成。平均手术时间为 90 分钟。住院时间为 1-2 天。所有患者术后进展良好:这些结果证实了经皮胆囊牵引胆囊切除术安全、经济、易于重复,这意味着它可以替代传统技术。
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