Two Port and Two Suture Modified Laparoscopic Cholecystectomy Technique

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dc.contributor.authorAcar, Sami
dc.contributor.authorSahbaz, Nuri Alper
dc.date.accessioned2024-10-29T17:59:36Z
dc.date.available2024-10-29T17:59:36Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractAim: Laparoscopic cholecystectomy is the gold standard method for the treatment of gallstone disease. In this study, the two-port laparoscopic cholecystectomy technique was described. Materials and Methods: The inclusion criteria were having current or past biliary colic, risk of developing gallbladder cancer, porcelain gallbladder, gallbladder polyp larger than 5 mm, and asymptomatic large gallbladder stones (>20 mm). The exclusion criteria were determined as having a suspicious malignancy, an American Society of Anesthesiologists score of 4 or 5, diagnosis of choledocholithiasis, a history of endoscopic retrograde cholangiopancreatography, past intra-abdominal surgery, and a body mass index >33 kg/m(2). Results: Two-port laparoscopic cholecystectomy was performed in 48 patients. Eleven patients (22.9%) were operated on with a preliminary diagnosis of cholecystitis and 37 patients (77.1%) with a prediagnosis of cholelithiasis. While 39 (81.2%) patients had multiple stones in the gallbladder, 9 (18.8%) had a single stone. The mean gallbladder wall thickness was 4.3 +/- 1.7 mm (range 2-10 mm), and the mean stone diameter was 14.0 +/- 10.2 mm (range 2-40 mm). The mean operation time in the whole group was 63.4 (range 42-86) minutes. Complications developed in 3 (6%) patients, including 3 subcutaneous infections. Conclusion: For standard four -port cholecystectomy, the two-port and two-suture assisted technique is a good alternative for selected cases. It can be applied successfully and is cosmetically effective.
dc.identifier.doi10.4274/nkmj.galenos.2023.50023
dc.identifier.endpage179
dc.identifier.issn2587-0262
dc.identifier.issue2en_US
dc.identifier.startpage175
dc.identifier.trdizinid1184584
dc.identifier.urihttps://doi.org/10.4274/nkmj.galenos.2023.50023
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1184584
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14783
dc.identifier.volume11
dc.identifier.wosWOS:001186687300008
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofNamik Kemal Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTwo port laparoscopic cholecystectomy
dc.subjectminimally invasive surgery
dc.subjectmethods
dc.subjectequipment
dc.subjectbenign gallbladder disease
dc.titleTwo Port and Two Suture Modified Laparoscopic Cholecystectomy Technique
dc.title.alternativeİki Port ve İki Sütür Yardımlı Modifiye Laparoskopik Kolesistektomi Tekniği
dc.typeArticle

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