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Volume 7, Issue 5 (Suppl) J Gastrointest Dig Syst, an open access journal
ISSN:2161-069X Gastroenterology 2017
November 13-14, 2017
November 13-14, 2017 | Las Vegas, USA
13th International Conference on
Clinical Gastroenterology, Hepatology and Endoscopy
Two incisions laparoscopic cholecystectomy: Reducing scars in a simple way
Rafael Antoniazzi Abaid
University of Sao Paulo, Brazil
About 20% of the population has cholelithiasis and this is the main abdominal cause of hospitalization in developed countries.
Considering that only in the United States about 700,000 cholecystectomies are done each year, it is possible to estimate the
importance of the problem for public health. Decreasing the number of incisions can reduce surgical trauma and offer better aesthetic
results. We will describe a two-incision laparoscopic cholecystectomy technique (TILC) using only conventional material, without
increasing complications, nor operative time, offering the same safety as conventional laparoscopic cholecystectomy. A consecutive
and prospective case series, compared to another historical series operated by conventional laparoscopy cholecystectomy (LC). The
TILC was performed with 3 trocars in 2 incisions, two trocars in umbilical incision and one in epigastrium. A total of 72 patients
were operated on by the same surgeon (36 in each group). There were no significant differences between groups for gender, mean
age, body mass index (BMI) or length of hospital stay. The procedures were classified by the surgeon according to surgical difficulty
and there was no difference between the series (p < 0.05). There were minor complications in 5.6% (n = 2) procedures in each group.
There was no need for additional portals in any case, nor for conversion to open surgery. TILC is feasible, safe and with good aesthetic
result, using the same instruments of LC, without increasing operative time or complications.
Biography
Rafael Antoniazzi Abaid, MD, MSc, is completing his Ph.D. in Sciences in Gastroenterology at the University of São Paulo and is professor at the School of Medicine of the
University of Santa Cruz do Sul.
Rafael Antoniazzi Abaid, J Gastrointest Dig Syst 2017, 7:5 (Suppl)
DOI: 10.4172/2161-069X-C1-055