2023年1月23日 · After induction of anesthesia and intubation, the laparoscopic cholecystectomy may begin. First, insufflation of the abdomen is achieved to 15 mmHg using carbon dioxide. Next, four small incisions are made in the abdomen for trocar placement (supraumbilical x1, subxiphoid x1, and right subcostal x2).

Single-incision laparoscopic cholecystectomy (SILC) is a minimally invasive surgical technique introduced as an advancement to laparoscopic cholecystectomy (LC). This narrative review delves into the emergence of SILC, emphasizing its distinct advantages such as improved cosmesis, reduced postoperative pain, and potentially faster recovery ...

2007年12月11日 · Minimal invasive procedures, laparoscopic cholecystectomy (LC) and small-incision cholecystectomy (SIC), have replaced the classical open cholecystectomy. No differences have been found in primary outcome measures between LC and SIC, therefore secondary outcome measures have to be considered to determine preferences.

We identified 5 main intraoperative decision points in laparoscopic cholecystectomy: (1) number and position of laparoscopic ports; (2) identification of cystic artery and duct; (3) division of cystic artery and duct; (4) indications for subtotal cholecystectomy; and (5) retrieval of the gallbladder.

2010年7月7日 · Single-incision laparoscopic surgery is an attractive technique for cholecystectomy due to its superior cosmetic results and potential to reduce the rate of wound complications such as infection, hematoma, and hernia.

A small periumbilical incision is made, with the location and orientation depending on the patient's body habitus and cosmetic considerations. Although most surgeons employ a closed technique to establish pneumoperitoneum and initial access (usually with a Veress needle), an open technique is also appropriate.

2017年9月25日 · A vertical 1 cm incision is made to open through the skin, fascia and peritoneum to enter the peritoneal cavity (Fig. 16.2b). If the fascia is not divided a second and/or third incision may be required to divide the fascia. This can be done under vision in thinner patients and by experienced palpation in more obese patients.

Laparoscopic cholecystectomy is the removal of the gall bladder via keyhole surgery. Four small puncture incisions are made into the abdominal wall, to insert a telescope and operating instruments (sometimes a fifth incision is necessary to complete the procedure). Because the incisions are so small, there is minimal scarring, less pain, and faster

2025年1月6日 · The most common type is laparoscopic cholecystectomy. In this method, the doctor uses small tools and a laparoscope through tiny cuts in your abdomen. If the case is more complicated, the doctor may choose to do an open cholecystectomy. This method needs a larger incision to work.

Objective: The gold standard technique for laparoscopic cholecystectomy (LC) is using four ports in the upper abdomen. However, this operative approach may not provide aesthetic satisfaction for some patients because of visible incision marks.