Transumbilical laparoscopic cholecystectomy: towards a scarless abdominal surgery.

BACKGROUND/AIMS: The aim of the study is to evaluate transumbilical laparoscopic cholecystectomy as a minimally invasive technique for removal of the gallbladder.

METHODOLOGY

Fifty patients were included in the study. All patients underwent transumbilical removal of the gallbladder through 3 incisions of 5mm size. An ultrasonically activated shear was used for sealing and dividing the cystic duct and artery. A 5mm camera with 30 degrees angle was used. Patient characteristics and outcomes were reviewed.

RESULTS

All cases were accomplished successfully. The operative time ranged from 30-85 minutes. All patients were discharged on the following day. The postoperative wound was minimal and well tolerated by patients. Postoperative pain was minimal to moderate as shown on a pain scale.

CONCLUSIONS

Transumbilical laparoscopic cholecystectomy has the potential advantages of reduced postoperative pain and reduced port-site complications. Careful attention to closure can lead to virtually "scarless" surgery without any further effect on the total cost of the procedure.