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Laparoscopic Cholecystectomy With Only One Port

Original Case Presentations
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Davila Fausto,
Fausto Davila Solis Hospital,
Poza Rica, Veracruz


ABSTRACT:
Laparoscopic Cholecystectomy With Only One Port (Without Trace)


In 1997 we initiated what we considered our philosophy of the "surgery without trace", when replacing the ports of attendance by percutaneous needles of 1mm or less (hook-needle, passing suture needle, reins of traction). Of immediate way our technique showed its kindness to us and since then we made it in routine form in all the patients who require cholecystectomy, competing with advantage with the traditional laparoscopic technique.

Better aesthetic aspect (without visible scar)
Better acceptance of the surgery by the patient
Less postoperating pain
Diminution costs (it does not use ports of attendance, nor clips)
Does not require selection (applicable to 96% of the patients)
Same surgical time

We have become familiar so much with the use of percutaneous needles, that we extended the application of the \"surgery without trace\" to other surgical techniques like appendectomy, ovarian cystectomy, histerectomy, exploration of biliary ducts, etc.
Ultra-low anterior resection with intersphincteric dissection with colonic J-pouch anal anastomosis
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