Volume : VII, Issue : VIII, August - 2017

Minilap grasper versus traction suture for hartmann’s traction in two port laparoscopic cholecystectomy: A comparative study.

Kuldip Singh, Varun Nagpal, Ashok Kumar

Abstract :

 Cholecystectomy is the commonest operation of the biliary tract and the second most common operative procedure performed today.^[1] The conventional laparoscopic cholecystectomy is done by four ports; a 10mm optical port at umbilicus, a 10mm and a 5mm port in epigastrium and in the midclavicular line, respectively for the surgeon to work, and a 5mm port in the mid axillary line at the umbilical level for the assistant to retract the gallbladder fundus. With increasing experience, laparoscopic cholecystectomy has undergone many refinements including reduction in the port size and number. In the experience of the proponents, three–port laparoscopic cholecystectomy is technically acceptable.^[2] With further evolution of the technique and increase in surgical experience, some surgeons tried laparoscopic cholecystectomy via two ports only. This required the introduction of transabdominal sutures through the anterior abdominal wall for retracting the gallbladder while dissection.^[3] One suture for fundal traction and other for the hartmann‘s pouch, this can also be accomplished using the minilap grasper. 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Kuldip Singh, Varun Nagpal, Ashok Kumar, Minilap grasper versus traction suture for hartmann¥s traction in two port laparoscopic cholecystectomy: A comparative study., INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾8 | August‾2017

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