Background: A traditional laparoscopic cholecystectomy uses 4 trocar incisions on the upper abdomen, which may be the source of undesirable cosmetic outcomes. We describe here a modification of the traditional laparoscopic cholecystectomy by which scars remain underwear. Supplemental Digital Content 1, http://links.lww.com/SLE/A27.
Methods: A 32-year-old woman and 43-year-old man with symptomatic cholelithiasis were chosen for laparoscopic cholecystectomy on the bikini line. Four trocar were used, all of them were positioned at the lower abdomen in the same parallel on the bikini line. All procedure was performed with standart laparoscopic instrumentation. Gallbladder was removed through the median suprapubical trocar site.
Results: Both procedures were technically successful with no skin incisions outside the bikini line. The total operation times were: 65 and 45 minutes, and the hospital stay were 2 days. There were no complications during or after surgery. We left no scar on the upper abdomen.
Conclusions: Laparoscopic cholecystectomy on the bikini line is technically feasible, safe, and effective. There is no need for learning curve and extralaparoscopic instrumentation. The major advantage of this method is improved cosmetic outcome with no visible abdominal scars. This new technique carries the potential to be an option for the traditional laparoscopic cholecystectomy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SLE.0b013e3182064d5f | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Intracholecystic papillary neoplasm: A case report.
Int J Surg Case Rep
January 2025
Faculty of Medicine of Tunis, Tunis El Manar University, Djebal Lakhdar Street, 1006 Tunis, Tunisia; Department of Pathology, Habib Thameur Hospital, 1082 Tunis, Tunisia. Electronic address:
Introduction And Importance: More needs to be understood concerning the natural progression and visual attributes of intracholecystic papillary neoplasm. Its longevity, especially the rate at which it transitions from benign to malignant growths, remains ambiguous. Consequently, it is imperative to elucidate the intrinsic progression of this precancerous lesion in the gallbladder.
View Article and Find Full Text PDFSafe access to laparoscopic cholecystectomy in patients with previous periumbilical incsions: new approach to avoid entry related bowel injury.
Langenbecks Arch Surg
January 2025
Alexandria Main University Hospital, Alexandria, Egypt.
Background: Patients with prior abdominal surgeries are at higher risk of intra-peritoneal adhesions near the trocar entry site, increasing the likelihood of organ injury during laparoscopic cholecystectomy (LC). This study evaluates a novel technique where the epigastric trocar is inserted first, after creating pneumoperitoneum, to allow safe dissection of adhesions under direct vision before placing the umbilical trocar.
Methods: This prospective study included 244 patients with symptomatic uncomplicated gallstone disease and a history of previous abdominal surgeries extending to the umbilicus.
Effect of laparoscopic cholecystectomy on plasma levels of EETs, arachidonic acids derived lipid mediators.
Postgrad Med J
January 2025
Department of Medical Biochemistry, Faculty of Medicine, Niğde Omer Halisdemir University, Niğde, 51000, Turkey.
Background: Epoxyeicosatrienoic acids (EETs) are closely associated with lipoprotein metabolism, and changes in lipid profiles potentially affect their levels and functions. Given the alterations in lipid metabolism after cholecystectomy, this study aimed to investigate the levels of four EET regioisomers (free and esterified) and lipid profiles in patients with cholelithiasis after laparoscopic cholecystectomy (LC) and explore correlations between these parameters.
Methods: This prospective study involved 40 patients with symptomatic cholelithiasis who underwent LC.
Combined Cholecystoenteric Fistula and Choledocholithiasis: A Report of a Rare Case.
Cureus
December 2024
Gastroenterology, University Hospital Tsaritsa Ioanna, Medical University of Sofia, Sofia, BGR.
Cholecystoenteric fistulas are a rare complication of chronic gallstone disease. If not diagnosed on time, they can cause several complications such as gallstone ileus, gastric outlet obstruction (Bouveret syndrome), cholangitis, or liver abscess. We present a case of a patient with chronic calculous cholecystitis, who was admitted due to unspecific abdominal discomfort and impaired liver function with increased cholestatic liver enzymes.
View Article and Find Full Text PDFPediatric gallbladder torsion managed by laparoscopic cholecystectomy: a case report and scoping review.
Front Pediatr
January 2025
Department of General Surgery, Children's Hospital of Soochow University, Suzhou, Jiangsu, China.
Gallbladder torsion (GT), characterized by the axial rotation of the cystic duct and cystic artery, is a critical condition that predominantly affects elderly women and is infrequently observed in children. Chronic cholecystitis associated with incomplete GT is a particularly rare phenomenon. This article presents a pediatric case of chronic cholecystitis associated with incomplete GT.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!