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Tip for Microlaparoscopic Cholecystectomy Easy Removal of the Gallbladder after Laparoscopic Cholecystectomy using the Three-Port Technique

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Author(s)
Koo Jeong KangTae Jin Lim
Keimyung Author(s)
Kang, Koo JeongLim, Tae Jin
Department
Dept. of Surgery (외과학)
Journal Title
Surgical Laparoscopy, Endoscopy & Percutaneous Techiniques
Issued Date
2003
Volume
13
Issue
2
Keyword
Laparoscopic cholecystectomyThree-port technique
Abstract
Summary: The standard laparoscopic cholecystectomy usually requires four trocars:
two 10-mm and two 5-mm trocars. With the development of mini-instruments, laparoscopic
surgeons have developed the two- or three-port techniques. The selection of
the number and size of trocars depends on the surgeon’s experience and preferences.
Removal of the gallbladder is critical in the mini-instrument technique. To remove the
gallbladder through the umbilical port, a 5-mm telescope should be inserted through
one of the 5-mm ports, or one of the 5-mm trocars should be replaced with an 11-mm
trocar by extending the incision. A simple and easy technique was applied to retrieve
the gallbladder without changing the telescope or extending the skin incision for the
trocar port to 11 mm. When the gallbladder is detached from the liver, the surgeon
grasps the neck of the gallbladder via the 5-mm trocar and positions the gallbladder in
the 11-mm trocar. While the surgeon keeps the gallbladder in the 11-mm trocar with
the grasper held tangentially, the assistant removes the telescope and inserts a straighttoothed
grasper to capture the gallbladder neck blindly. Subsequently, the removal of
the gallbladder together with the trocar follows the usual technique. We have applied
this technique to all our patients with limited or no inflammation of the gallbladder.
Key Words: Laparoscopic cholecystectomy—Three-port technique.
Keimyung Author(s)(Kor)
강구정
임태진
Publisher
School of Medicine
Citation
Koo Jeong Kang and Tae Jin Lim. (2003). Tip for Microlaparoscopic Cholecystectomy
Easy Removal of the Gallbladder after Laparoscopic Cholecystectomy using the Three-Port Technique. Surgical Laparoscopy, Endoscopy & Percutaneous Techiniques, 13(2), 118–120.
Type
Article
ISSN
1530-4515
Source
https://insights.ovid.com/pubmed?pmid=12709619
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34450
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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