Jurczak Florent
Chirurgie g6n&rale et digestive. Pôle hospitaier mutualiste de Saint Nazaire, Polyclinique de l'Océan, 38 rue de Pornichet, 44600 Saint-Nazaire.
Bull Acad Natl Med. 2011 Nov;195(8):1887-97; discussion 1897-8.
To describe and evaluate a new cholecystectomy technique combining classical dissection with currently available mini-instrumentation (3 and 5 mm) and gallbladder removal through a short gastrotomy.
After a feasibility study, we set up a protocol for this procedure using instrumentation currently available on the market. We performed 106 procedures, including 99 in a prospective study between January 2008 and July 2010.
Cholecystectomy was performed with the described technique in 99 of 106 eligible patients (22 males and 77 females, mean age 45.8 years (range 18-77); median BMI 26.4 kg/m2 (range 22-36)). Forty-eight patients had at least one gallstone larger than 10 mm. There were no postoperative gastric complications and recovery was always rapid.
This procedure is technically feasible, safe and reproducible. The results are good, with minimal abdominal wall trauma. Normal physical activity can be resumed rapidly with no risk of incisional hernia.
