Skip to main content
SpringerLink
Log in

Cholecystectomy with Improved Retraction

  • Chapter
  • First Online:
Reduced Port Laparoscopic Surgery

Abstract

The concept of Transumbilical Cholecystectomy with Magnetic Retraction (TCMR) is founded on reproducing classic laparoscopic surgery of the gallbladder, with an optimum vision and exposition of the triangle of Calot. Newly designed and already existing instruments and devices are deployed inside the abdominal cavity and used to perform surgical procedures. Thereafter, they are removed together with the surgical specimen through a single umbilical incision. Because TCMR is only performed with a single 12-mm trocar, it results in no visible scars and provides a superlative cosmesis and inferior pain scores in comparison to classic laparoscopy and other transumbilical approaches. The internal magnetic device replaces the use of graspers, needles or sutures and supplies the necessary retraction/countertraction force to enable sufficient triangulation. An external, larger and more powerful magnet placed over the abdominal wall controls it. Moreover, since it is not fixed at any level it can freely cruise the abdominal cavity according to the surgeon’s need. Despite its few limitations and the need for further research, TCMR is a feasible and safe alternative to videosurgery and other transumbilical approaches. It is simple to learn and applicable in patients weighing more than 10 kg and a body mass index inferior to 40 kg/m2.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Trondsen E, Reiertsen O, Andersen OK, Kjaersgaard P (1993) Laparoscopic and open cholecystectomy. A prospective, randomized study. Eur J Surg 159:217–221

    CAS  PubMed  Google Scholar 

  2. Berggren U, Gordh T, Grama D, Haglund U, Rastad J, Arvidsson D (1994) Laparoscopic versus open cholecystectomy: hospitalization, sick leave, analgesia and trauma responses. Br J Surg 81:1362–1365

    Article  CAS  PubMed  Google Scholar 

  3. Kiviluoto T, Siren J, Luukkonen P, Kivilaakso E (1998) Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. Lancet 351:321–325

    Article  CAS  PubMed  Google Scholar 

  4. Ponsky TA, Diluciano J, Chwals W et al (2009) Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A 19(4):551–553

    Article  PubMed  Google Scholar 

  5. Horgan S, Cullen JP, Talamini MA et al (2009) Natural orifice surgery: initial clinical experience. Surg Endosc 23(7):1512–1518

    Article  PubMed Central  PubMed  Google Scholar 

  6. Qiu Z, Sun J, Pu Y, Jiang T, Cao J, Wu W (2011) Learning curve of transumbilical single incision laparoscopic cholecystectomy (SILS): a preliminary study of 80 selected patients with benign gallbladder diseases. World J Surg 35(9):2092–2101

    Article  PubMed  Google Scholar 

  7. Raman JD, Scott DJ, Cadeddu JA (2009) Role of magnetic anchors during laparoendoscopic single site surgery and NOTES. J Endourol 23(5):781–786

    Article  PubMed  Google Scholar 

  8. Padilla BE, Domínguez G, Millán C et al (2013) Initial experience with magnet-assisted single trocar appendectomy in children. J Laparoendosc Adv Surg Tech A 23(5):463–466

    Article  PubMed  Google Scholar 

  9. Morales-Conde S, Dominguez G, Cañete Gomez J, Socas M, Barranco A, García Moreno J, Padillo FJ (2013) Magnetic-assisted single-port sleeve gastrectomy. Surg Innov 20(4):NP9–NP11

    Article  PubMed  Google Scholar 

  10. Dominguez G (2007) Colecistectomía con un trocar asistida por imanes de neodimio. Reporte de un caso. Asociación Mexicana de TCMRugía Endoscópica AC 8(4):172–176

    Google Scholar 

  11. Dominguez G, Durand L, De Rosa J et al (2009) Retraction and triangulation with neodymium magnetic forceps for single-port laparoscopic cholecystectomy. Surg Endosc 23(7):1660–1666

    Article  PubMed  Google Scholar 

  12. Padilla BE, Dominguez G, Millan C, Martinez-Ferro M (2011) The use of magnets with single-site umbilical laparoscopic surgery. Semin Pediatr Surg 20(4):224–231

    Article  PubMed  Google Scholar 

  13. Gagner M, Garcia-Ruiz A (1998) Technical aspects of minimally invasive abdominal surgery performed with needlescopic instruments. Surg Laparosc Endosc 8(3):171–179

    Article  CAS  PubMed  Google Scholar 

  14. Lee KW, Poon CM, Leung KF, Lee DW, Ko CW (2005) Two-port needlescopic cholecystectomy: prospective study of 100 cases. Hong Kong Med J 11(1):30–35

    CAS  PubMed  Google Scholar 

  15. Navarra G, Pozza E, Occhionorelli S et al (1997) One wound laparoscopic cholecystectomy. Br J Surg 84:695

    Article  CAS  PubMed  Google Scholar 

  16. Ponsky T (2009) Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J Am Coll Surg 209:e1–e6

    Article  PubMed  Google Scholar 

  17. Rawlings A, Hodgett S, Brunt M et al (2010) Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiography. J Am Coll Surg 211:1–7

    Article  PubMed  Google Scholar 

  18. Rivas H, Varela E, Scott D (2010) Single-incision laparoscopic cholecystectomy: initial evaluation of a large series of patients. Surg Endosc 24:1403–1412

    Article  PubMed Central  PubMed  Google Scholar 

  19. Schlager A, Khalaileh A, Mintz Y et al (2009) Providing more through less: current methods of retraction in SIMIS and NOTES cholecystectomy. Surg Endosc 24:1542–1546

    Article  PubMed  Google Scholar 

  20. Shussman N, Schlager A, Mintz Y et al (2011) Single-incision laparoscopic cholecystectomy: lessons learned for success. Surg Endosc 25:404–407

    Article  PubMed Central  PubMed  Google Scholar 

  21. Horgan S, Mintz Y (2009) NOTES: transvaginal cholecystectomy with assisting articulating instruments. Surg Endosc 23:1900

    Article  PubMed  Google Scholar 

  22. Zornig C, Mofid H, Emmermann A et al (2008) Scarless cholecystectomy with combined transvaginal and transumbilical approach in a series of 20 patients. Surg Endosc 22:1427–1429

    Article  CAS  PubMed  Google Scholar 

  23. Park S, Bergs RA, Eberhart R, Baker L, Fernandez R, Cadeddu JA (2007) Trocar-less instrumentation for laparoscopy: magnetic positioning of intra-abdominal camera and retractor. Ann Surg 245(3):379–384

    Article  PubMed Central  PubMed  Google Scholar 

  24. Scott DJ, Tang SJ, Fernandez R et al (2007) Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments. Surg Endosc 21(12):2308–2316

    Article  PubMed  Google Scholar 

  25. Ryou M, Thompson C (2009) The use of magnets in natural ori fi ce transluminal endoscopic surgery (NOTES): addressing the problem of traction and countertraction. Endoscopy 41:143–148

    Article  CAS  PubMed  Google Scholar 

  26. Kume M, Miyazawa H, Abe F, Iwasaki W et al (2008) A newly designed magnet-retracting forceps for laparoscopic cholecystectomy in a swine model. Minim Invasive Ther Allied Technol 17(4):251–254

    Article  PubMed  Google Scholar 

  27. Mashaud L, Kabbani W, Scott D et al (2011) Tissue compression analysis for magnetically anchored cautery dissector during single-site laparoscopic cholecystectomy. J Gastrointest Surg 15:902–907

    Article  PubMed  Google Scholar 

  28. Best S, Bergs R, Scott D et al (2011) Maximizing coupling strength of magnetically anchored surgical instruments: how thick can we go? Surg Endosc 25:153–159

    Article  PubMed  Google Scholar 

  29. Milad M, Terkildsen M (2002) The spinal needle test effectively measures abdominal wall thickness before cannula placement at laparoscopy. J Am Assoc Gynecol Laparosc 9:514–518

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Fundación Hospitalaria Private Children’s Hospital, Crámer 4601, 3rd Floor, (C1429AKK), Ciudad Autónoma de Buenos Aires, Argentina

    Guillermo Domínguez

  2. ImanLap Ltd Project, Crámer 4601, 3rd Floor, (C1429AKK), Ciudad Autónoma de Buenos Aires, Argentina

    Guillermo Domínguez

  3. Department of Pediatric Surgery, Fundación Hospitalaria Private Children’s Hospital, Crámer 4601, 3rd Floor, (C1429AKK), Ciudad Autónoma de Buenos Aires, Argentina

    Marcelo Martinez-Ferro

Authors
  1. Guillermo Domínguez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marcelo Martinez-Ferro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Guillermo Domínguez .

Editor information

Editors and Affiliations

  1. Surgery, Kyorin University, Tokyo, Japan

    Toshiyuki Mori

  2. Saint-Pierre University Hospital, Brussels, Belgium

    Giovanni Dapri

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Japan

About this chapter

Cite this chapter

Domínguez, G., Martinez-Ferro, M. (2014). Cholecystectomy with Improved Retraction. In: Mori, T., Dapri, G. (eds) Reduced Port Laparoscopic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54601-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54601-6_15

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54600-9

  • Online ISBN: 978-4-431-54601-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation