Percutaneous Cholecystostomy With Locking Trocar: How I Do It? A Case Report

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dc.contributor.authorVatansev, Celaleddin
dc.contributor.authorBelviranlı, Muaz
dc.date.accessioned2020-03-26T16:45:56Z
dc.date.available2020-03-26T16:45:56Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractCholecystectomy and open cholecystostomy are associated with a high mortality rate in critically ill patients. Ultrasound-guided percutaneous cholecystostomy has a high success rate with few complications. The following method of percutaneous cholecystostomy with locking trocar (LT) under direct laparoscopic vision is seen to be an effective, safe, and practical procedure. After the abdomen is prepared from xiphisternum to symphysis pubis, the umbilicus and surrounding skin are infiltrated with 1% combined lignocaine and adrenaline. A 10-mm laparoscopy trocar is inserted via a 10-mm subumbilical incision. After a camera is inserted via the trocar, the abdomen and gallbladder are exposed. The skin of the geometric projection of fundus is infiltrated with the same solution, and a 5mm LT is introduced via a 5-mm skin incision directed to the fundus of the gallbladder guided by the direct view of a laparoscope. When the LT has penetrated to the gallbladder, the bile and contents of the gallbladder are aspirated immediately to reduce the pressure, and the trocar is locked. The locked trocar is fixed to the abdominal wall under traction until the completion of peritonization to prevent bile leakage. The gallstones can be extracted through the trocar by a laparoscopy forceps. This technique was used for a 75-year-old woman with calculous cholecystitis and cardiopulmonary insufficiency, and her progress at this writing is good.en_US
dc.identifier.citationVatansev, C., Belviranlı, M., (2003). Percutaneous Cholecystostomy With Locking Trocar: How I Do It? A Case Report. Surgical Endoscopy and Other Interventional Techniques, 17(1), 162-163. Doi: 10.1007/s00464-002-4206-5
dc.identifier.doi10.1007/s00464-002-4206-5en_US
dc.identifier.endpage163
dc.identifier.issn0930-2794en_US
dc.identifier.issue1en_US
dc.identifier.pmid12360371en_US
dc.identifier.startpage162
dc.identifier.urihttps://dx.doi.org/10.1007/s00464-002-4206-5
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18523
dc.identifier.volume17en_US
dc.identifier.wosWOS:000180798900058en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVatansev, Celaleddin
dc.institutionauthorBelviranlı, Muaz
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectPercutaneous Cholecystostomyen_US
dc.subjectLocking Trocaren_US
dc.subjectLaparoscopyen_US
dc.titlePercutaneous Cholecystostomy With Locking Trocar: How I Do It? A Case Reporten_US
dc.typeArticleen_US

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