[Three-port laparoscopic suture-suspension cholecystectomy].
The technique of laparoscopic cholecystectomy still presents scope for further refinement. Many surgeons simply eliminate the most lateral trocar. In this way they lose the lateral traction on the gallbladder neck, thus closing Calot's triangle instead of opening it. This manoeuvre increases the risk of biliary lesions. In our opinion, in order to reduce the number of ports, a cannula may be replaced by a percutaneous suture suspension of the gallbladder. One hundred and fifty consecutive patients with symptomatic cholelithiasis were submitted to a "three-port suture-suspension cholecystectomy" by the same surgeon. In 24 cases a fourth trocar was necessary. No common bile duct injuries were registered. Three-port suture-suspension cholecystectomy seems to be a feasible and effective technique. Above all, it is a safe operation inasmuch as the basic rules of cholecystectomy are respected.
Tebala
Giovanni Domenico
GD
Divisione di Chirurgia Generale, Aurelia Hospital, Roma.
D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D006801:Humans; D011446:Prospective Studies; D013536:Suture Techniques