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ISSN 1665-2576 (Print)

2005, Number 2

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Rev Mex Cir Endoscop 2005; 6 (2)

Viability of the laparoscopic cholecystectomy with three ports in the management of the acute cholecystitis

Shiordia PFJ, Ugalde VF, Vicencio TA, Quiroz MG, Liceaga FA, López MMC

Language: Spanish
References: 40
Page: 79-85
PDF size: 61.77 Kb.


ABSTRACT

Background: Three ports laparoscopic cholecystectomy has not demonstrated more risk than the four ports. Aims: Compare laparoscopic management in acute and chronic cholecystitis. Material and methods: 325 patients underwent laparoscopic cholecystectomy with three ports were studied (Hospital Santelena). All were divided into two groups, (GA) n = 114, acute cholecystitis; and (GC) n = 211, chronic cholecystitis. Age, sex, time of surgery, hospital stay and technical resources were determined. Student’s test and fisher’s exact test were performed. Results: Time of surgery resulted shorter in GC, p ‹ 0.0001. Gallbladder puncture, four ports convertion was less en GC, p ‹ 0.0001. 42 ERCP but no difference was found in neither group. 4 cases of pulmonary athelectasia and no local complications resulted in any case. Mortality was zero. Conclusions: Female patients have acute and chronic cholecystitis more frequently than male patients. Time of surgery, gallbladder puncture and four ports convertion is more likely to occur in acute than in chronic cholecystitis. We support the fact that both, acute and chronic cholecystitis can be managed by laparoscopic technique with three ports. This technique is safe, effective. The resources of gallbladder puncture, four port or abdominal convertion are invaluable to support this technique.


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