title: [Three-port transumbilical endoscopic cholecystectomy performed using conventional laparoscopic instruments].
abstract: OBJECTIVE
  To evaluate the clinical efficacy and safety of three-port transumbilical endoscopic cholecystectomy performed using conventional laparoscopic instruments.
  
  
  METHODS
  Thirty-two patients undergoing three-port transumbilical endoscopic cholecystectomy using conventional laparoscopic instruments (group A) with 3 ports around the umbilicus were compared with 96 patients (group B) receiving the conventional 4-port routine endoscopic cholecystectomy.
  
  
  RESULTS
  All the procedures were successfully completed without conversion to open laparotomy. In group A, the procedures were completed smoothly in 30 cases while 2 cases required another port (5 mm) punctured below the xyphoid due to severe adhesion around the cyst. The median operating time was 39.7∓5.2 min in group A, significantly longer than that in group B (25.3∓3.3 min, P<0.001), but the patients in group A obtained better cosmetic results (P<0.001); the median blood loss, recovery time of postoperative intestine function, length of postoperative hospital stay, and the rate of use of postoperative painkillers were comparable between the two groups. Bile leakage or other postoperative complications occurred in none of cases in the two groups.
  
  
  CONCLUSIONS
  In cases without severe adhesion around the cyst, three-port transumbilical endoscopic cholecystectomy using conventional laparoscopic instruments is a safe and feasible alternative to routine endoscopic cholecystectomy with better cosmetic results.
authors.affiliation: Center of Minimal Invasive Surgery, First Affiliated Hospital of Jinan University, Guangzhou, China. thuyz@jnu.edu.cn
authors.forename: Youzhu
authors.initials: Y
authors.lastname: Hu
authors.forename: Cunchuan
authors.initials: C
authors.lastname: Wang
authors.forename: Xianming
authors.initials: X
authors.lastname: Liu
authors.forename: Yingying
authors.initials: Y
authors.lastname: Shen
authors.forename: Jinyi
authors.initials: J
authors.lastname: Li
authors.forename: Jingge
authors.initials: J
authors.lastname: Yang
authors.forename: Chunliang
authors.initials: C
authors.lastname: Yu
authors.forename: Haibo
authors.initials: H
authors.lastname: Yu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*; D055815:Young Adult