title: Single access laparoscopic cholecystectomy: technique without the need for special materials and with better ergonomics.
abstract: The authors describe a surgical technique which allows, without increasing costs, to perform laparoscopic cholecystectomy with a single incision, without using specific materials and with better surgical ergonomics. The technique consists of a longitudinal umbilical incision, navel detachment, use of a permanent 10mm trocar and two clamps directly and bilaterally through the aponeurosis without the use of 5mm trocars, transcutaneous gallbladder repair with straight needle cotton suture, ligation with unabsorbable suture and umbilical incision for the specimen extraction. The presented technique enables the procedure with conventional and permanent materials, improving surgical ergonomics, with safety and aesthetic advantages.
authors.affiliation: Hospital Federal de Bonsucesso, Rio de Janeiro, Brasil.
authors.forename: Marco Aurélio Lameirão
authors.initials: MA
authors.lastname: Pinto
authors.affiliation: Hospital Federal de Bonsucesso, Rio de Janeiro, Brasil.
authors.forename: Raphael Fernando Costa Gomes
authors.initials: RF
authors.lastname: de Andrade
authors.affiliation: Hospital Federal de Bonsucesso, Rio de Janeiro, Brasil.
authors.forename: Luiz Gustavo
authors.initials: LG
authors.lastname: de Oliveira e Silva
authors.affiliation: Complexo Hospitalar de Niterói, Rio de Janeiro, Brasil.
authors.forename: Marco Aurélio de Lacerda
authors.initials: MA
authors.lastname: Pinto
authors.affiliation: Hospital Federal de Bonsucesso, Rio de Janeiro, Brasil.
authors.forename: Roberto Jamil
authors.initials: RJ
authors.lastname: Muharre
authors.affiliation: Hospital Federal de Bonsucesso, Rio de Janeiro, Brasil.
authors.forename: Ricardo Ary
authors.initials: RA
authors.lastname: Leal
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D006804:Ergonomics; D004954:Esthetics; D006801:Humans; D008026:Ligation; D013537:Sutures