RESUMO
BACKGROUND: The advent of endoscopic surgery has radically changed surgery worldwide.The concept of minimally invasive procedures has spread quickly, allowing less pain and more rapid recovery for patients. The authors have developed a device for a new surgical approach, the so-called single trocar access (SITRACC). This study report the first multicenter study of cholecystectomies performed with SITRACC. METHODS: Between December 2008 and June 2009, 81 single trocar cholecystectomies were performed in 9 Brazilian surgery centers. RESULTS: The average operative time was 68 minutes. In all, 10 surgeries required 1 additional trocar because of technical problems, and 3 cholecystectomies were converted to standard video laparoscopies. CONCLUSION: A cholecystectomy using the SITRACC method is feasible and safe.
Assuntos
Colecistectomia Laparoscópica/instrumentação , Estudos de Viabilidade , Feminino , Humanos , Masculino , Resultado do TratamentoRESUMO
O abdômen agudo pode ser definido como uma dor abdominal de aparecimento súbito, não traumático, que pode necessitar de intervenção cirúrgica ou não. A anamnese detalhada direcionando o exame físico será a base que orientará a condução do tratamento precoce e o restabelecimento do paciente. Considerando o grande número de doenças que podem se manifestar como abdômen agudo, o objetivo desta revisão é produzir uma sistemática de abordagem, para facilitar o diagnóstico e evitar exames desnecessários ou que retardem o tratamento específico, melhorando o atendimento e o manejo do paciente, conseqüentemente propiciando um retorno às atividades habituais precocemente.
The acute abdomen can be defined as an acute, non-traumatic abdominal painthat needs medical care, and in some situations surgical intervention. This clinical scenario is veryfrequent, in the emergency room. Detailed anamnesis directs the physical examination, and will bethe guideline to conduct the early treatment and the reestablishment of the patient. Due to the greatnumber of diseases related with this syndrome, our goal was to review the literature and to producean objective and practical methodology, with the aim to facilitate the diagnosis and to preventunnecessary exams, which may delay the specific treatment, improving the assess and care of thepatient.