TITLE:
A Point-Specific Site for Placement of Epigastric Port in Iaparoscopic Management of Gallbladder Disease: An Observational Study
AUTHORS:
Mushtaq Chalkoo, Shahnawaz Ahangar, Faud Sadiq Baqal, Alfar Ah Nafae, Muntakhab Nafae, Raiees Ahmad Malla, Ajaz Ahmad Mallar
KEYWORDS:
Laparoscopic Cholecystectomy; Epigastric Port; Point Specific Anatomy
JOURNAL NAME:
Surgical Science,
Vol.4 No.7,
June
28,
2013
ABSTRACT:
Backgound: Laparoscopic cholecystectomy has revolutionized the world in the
surgical management of benign gallbladder disease. However, for any procedure to
learn properly, anatomy becomes a major concern. Aims and Objectives: We present a point, a convenient site, speedily accessible by our
maneuver of placing epigastric port on the patient. Materials and Methods: This is an outcome of an observation with the prospective study of 100 patients
irrespective of age, sex, body habitus and severity of gallstone
disease. Our point for epigastric port satisfies all the criteria for an ideal
port. Results: Our general observation with majority of patients with this point
specific epigastric port placement was that it is easy to locate, needs less
thrust on trocar for creation, stays on the linea alba, is easily maneuverable
facilitates safe, easy and speedy dissection, causes less portal bleeds and is
easy to angulate towards the right of falciform ligament. Conclusion: The point specific
epigastric port conveys many benefits to the operating surgeon in terms of easy
location, adds safety and speed to the procedure, causes less portal bleeds,
needs less thrust and is easy to angulate to the right of the falciform
ligament adding technical ease to the surgeon. It is easy to be learnt, taught
and practiced by the young surgeons.