title: [Laparoscopic cholecystectomy with three-port and 25 millimeters long incision.]
abstract: Background: three-port and 25 mm total incision laparoscopic cholecystectomy has shown benefits compared to conventional laparoscopy. The aim was to examine the safety and feasibility of this technique. Methods: a three-port laparoscopic cholecystectomy trial was conducted through Cinvestav metasearcher, Seriunam and Rencis. The eligibility criteria were: three port laparoscopic cholecystectomy, 25 mm total incision, and score = 17 on Data Review System. Trials which employed instruments smaller than 5 mm in diameter were excluded. The comparative variables were documented and results obtained in the selected trials were described. Results: four trials were selected, comprising 1767 cases (1329 females and 438 males), average age was 44.3 years. Chronic cholecystitis was documented in 84.3 %, and acute cholecystitis in 14.7 %. Average surgical time was 54.5 minutes. An additional port was required in 4.8 % and 1.4 % was converted to open technique. Bile duct injury was presented in 0.11 %. The success rate was 94.9 %. Conclusions: three port and 25 mm total incision in laparoscopic cholecystectomy is safe and feasible.
authors.affiliation: Departamento de Cirugía General, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México. endavidgtm@gmail.com.
authors.forename: Enrique David
authors.initials: ED
authors.lastname: Gómez Tagle-Morales
keywords: cholecystectomy, laparoscopic; cholecystitis; colecistectomía laparoscópica; colecistitis