ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Surgical Outcomes of Gallbladder Retrieval via Different Ports in Laparoscopic Cholecystectomy.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: An important step during laparoscopic cholecystectomy that has a proven effect on postoperative morbidity and outcomes is the site of gallbladder retrieval, which is either through the umbilical or epigastric port. Currently, no guidelines recommend the superiority of one port over the other, and it is mainly based on the surgeon's preference. This study aimed to address the outcomes and complications of gallbladder retrieval through the epigastric port in comparison with the umbilical port and to identify the associated risk factors. Methods: A retrospective review of 658 patients who underwent laparoscopic cholecystectomy between 2020 and 2021 was conducted. Patient demographics, preoperative workups, intraoperative findings, and postoperative outcomes were compared between retrieval via the epigastric and umbilical ports. Results: Gallbladder retrieval occurred through the epigastric port in 441 patients and through the umbilical port in 217 patients. The epigastric group had a greater mean age (44.2 ± 14.90 vs 41.3 ± 14.47 years; Conclusion: Epigastric port retrieval during laparoscopic cholecystectomy offers comparable intraoperative outcomes to those of umbilical retrieval. However, hernia risk, which is linked to specific factors, warrants further research to improve outcomes.
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