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A Point-Specific Site for Placement of Epigastric Port in Iaparoscopic Management of Gallbladder Disease: An Observational Study

DOI: 10.4236/ss.2013.47060, PP. 309-312

Keywords: Laparoscopic Cholecystectomy, Epigastric Port, Point Specific Anatomy

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Abstract:

Backgound: Laparoscopic cholecystectomy has revolutionized the world in the surgical management of benign gallbladder disease. However, for any procedure to learn properly, anatomy becomes a major concern. Aims and Objectives: We present a point, a convenient site, speedily accessible by our maneuver of placing epigastric port on the patient. Materials and Methods: This is an outcome of an observation with the prospective study of 100 patients irrespective of age, sex, body habitus and severity of gallstone disease. Our point for epigastric port satisfies all the criteria for an ideal port. Results: Our general observation with majority of patients with this point specific epigastric port placement was that it is easy to locate, needs less thrust on trocar for creation, stays on the linea alba, is easily maneuverable facilitates safe, easy and speedy dissection, causes less portal bleeds and is easy to angulate towards the right of falciform ligament. Conclusion: The point specific epigastric port conveys many benefits to the operating surgeon in terms of easy location, adds safety and speed to the procedure, causes less portal bleeds, needs less thrust and is easy to angulate to the right of the falciform ligament adding technical ease to the surgeon. It is easy to be learnt, taught and practiced by the young surgeons.

References

[1]  W. Reynolds Jr., “The First Laparoscopic Cholecystectomy,” Journal of the Society of Laparoendoscopic Surgeons, Vol. 5, No. 1, 2001, pp. 89-94.
[2]  L. K. Nathanson, S. Shimi and A.Cuschieri, “Laparoscopic Cholecystectomy: The Dundee Technique,” British Journal of Surgery, Vol. 78, No. 2, 1991, pp. 155-159. doi:10.1002/bjs.1800780208
[3]  B. Lahmann, G. L. Adrales, M. J. Mastrangelo Jr. and R. W. Schwartz, “Laparoscopic Cholecystectomy—Technical Considerations,” Current Surgery, Vol. 59, No. 1, 2002, pp. 55-58.
[4]  A. R. Bhutta, M. Waheed, S. Mohsinali and K. J. Abid, “Port Site Wound Hernias after Laproscopic Cholecystectomy,” Biomedica, Vol. 20, No. 2, 2004, in press. http://www.thebiomedicapk. com/articles/13.pdf
[5]  E. H. Carol, “Scott-Conner, Laparoscopic Cholecystectomy (2006): The SAGES Manual Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy,” 2nd Edition, Springer, New York, 2006, pp. 131-139.
[6]  T. E. Udwadia, “Laparoscopic Cholecystectomy (1993) Operative Technique for Laparoscopic Cholecystectomy,” Oxford University Press, Oxford, 1993.
[7]  J. E. Fischer, “Cholecystostomy, Cholecystectomy and Intraoperative Evaluation of the Biliary Tree,” 5th Edition, Lippincott Williams & Wilkins, Philadelphia, 2001.
[8]  F. C. Brunicardi, D. K. Andersen and T. R. Billiar, “Gallbladder and the Extrahepatic Biliary System. Schwartz’s Principles of Surgery,” 8th Edition, The McGraw-Hill Companies, New York, 2007.
[9]  S. W. Ashley and M. J. Zinner, “Cholecystectomy (Open and Laparoscopic). Maingot’s Abdominal Operations,” 11th Edition, The McGraw-Hill Companies, New York, 2007.

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