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373709

A MODIFIED HOME-MADE ABDOMINAL WALL LIFT DEVICE FOR GASLESS LAPAROSCOPIC CHOLECYSTECTOMY

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Last updated: 29 Dec 2024

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Abstract

Introduction: The rationale of gasless laparoscopy using abdominal wall lifting (AWL) is to avoid the deleterious effects of carbon dioxide pneumo-peritoneum particularly in patients with cardiopulmonary diseases. Despite that, the AWL 
apparatus has not gained worldwide popularity, most probably due to its cost, complexity or unavailability. The aim of this work was to assess the feasibility of a simple modified gasless technique in laparoscopic cholecystectomy using a homemade set. 
Materials and Methods: This prospective study included 20 cases with chronic calcular cholecystitis with a mean weight of 65.77 Kg (45 - 101). Conventional Foley's catheters (F16-F24) were used for AWL. Traction of these catheters was maintained manually or using the simple home-made mechanical retractor described in this study. 
Results: Laparoscopic cholecystectomy was carried out successfully in 15 patients (75%) using this new technique. Failure was found in over weight patients and those with marked adhesions. No mortality but technique-related morbidity was 
minimal (early abdominal wall pain at the trocar site with late visible scars). No common bile duct or visceral injury was 
recorded. 
Conclusion: This technique provided a simple, cheap, safe, and easily available home-made total AWL device particularly in non obese patients. 

DOI

10.21608/ejsur.2005.373709

Keywords

laparoscopic surgery, Laparoscopic cholecystectomy, modified gasless laparoscopic set, Home-made gasless laparoscopy

Authors

First Name

M.

Last Name

Abbas

MiddleName

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Affiliation

Department of General Surgery, Theodore Bilharz Research Institute.

Email

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City

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Orcid

-

First Name

A. I.

Last Name

Nafeh

MiddleName

-

Affiliation

Department of General Surgery, Theodore Bilharz Research Institute.

Email

-

City

-

Orcid

-

First Name

Y. F .

Last Name

Youssef

MiddleName

-

Affiliation

Department of General Surgery, Theodore Bilharz Research Institute.

Email

-

City

-

Orcid

-

First Name

A. H. I.

Last Name

Helmy

MiddleName

-

Affiliation

Department of General Surgery, Theodore Bilharz Research Institute.

Email

-

City

-

Orcid

0000-0002-3478-2990

Volume

24

Article Issue

1

Related Issue

49797

Issue Date

2005-01-01

Receive Date

2024-08-13

Publish Date

2005-01-01

Page Start

22

Page End

27

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_373709.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=373709

Order

373,709

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

A MODIFIED HOME-MADE ABDOMINAL WALL LIFT DEVICE FOR GASLESS LAPAROSCOPIC CHOLECYSTECTOMY

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Article

Created At

21 Dec 2024