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Journal of Gastroenterology and Digestive Diseases | Volume 3
May 25-26, 2018 | New York, USA
World Liver Conference 2018
About 20% of the population has cholelithiasis and
this is the main abdominal cause of hospitalization in
developed countries. Considering that only in the United
States about 700,000 cholecystectomies are done each year,
it is possible to estimate the importance of the problem
for public health. For a century, since Carl Langenbuch
removed the first gallbladder, cholecystectomy was only
performed through laparotomies. In the 1980s, laparoscopic
cholecystectomy (LC) appeared. The technique was
improved and spread rapidly in the 1990s. It is one of the
most frequently performed procedures today and is still
considered gold standard technique in the treatment of
symptomatic cholelithiasis. Although large and traumatic
incisions have been replaced by four small 5 mm and 10
mm incisions, many surgeons continue to search for even
less invasive techniques. The reduction of surgical trauma
has potential benefit of causing less postoperative pain,
reducing convalescence time and generating better aesthetic
results. Several techniques have been described with these
objectives. As LC is a relatively inexpensive and easy-to-
perform technique, the greatest challenges are to maintain
safety without increasing technical difficulty or cost. In
accordance with safety standards and with the intention
of reducing scars, it was proposed to perform two incisions
simplified laparoscopic cholecystectomy using a hybrid
technique with an incision inside the umbilicus and another
in the epigastrium to operate similarly to standard LC.
Speaker Biography
Rafael Antoniazzi Abaid has completed his PhD at Digestive Surgery Division,
Department of Gastroenterology, University of Sao Paulo School of Medicine, USP,
Brazil and also is a Professor in Medicine School, University of Santa Cruz do Sul, UNISC,
Brazil.
e:
Two incisions laparoscopic cholecystectomy: A simple way to reduce scar
Rafael Antoniazzi Abaid and Bruno Zilberstein
University of Santa Cruz do Sul, Brazil