Abstract:
Relevance. The progress of achievements in surgery is associated with the desire to perform an operation less traumatic
and with the best cosmetic effect. These requirements are met by laparoscopic surgery of one access SPLS (Single Port
Laparoscopic Surgery).
The aim of research. Improve the results of treatment of children with calculous cholecystitis
Materials and methods. For the period from February 2012 to March 2017, under our supervision, there were 36 patients with calculous cholecystitis. Operation to remove the gallbladder was performed using U-NOTES (umbilical natural
orifice transumbilican endoscopic surgery). We used a special reusable X-CONE TM port from Karl Storz, a three-chip HD
camera with elongated optics. Cholecitectomy was performed standardly with clumping of the vesicular duct and clumping
or coagulation of the vesicle artery. The operation is mainly performed from the cervix. In the presence of infiltration or the
appearance of complications with the allocation of cells in 3 patients cholecystectomy was carried out from the bottom. In
5 patients at the stage of “working out” of the cystic duct and artery, an additional 3 mm port was required. The duration
of the operation was 43 ± 9.8 minutes. Antibiotic therapy was performed in one injection 30 minutes before the start. Anesthesia patients required only during the first day after the intervention. There were no complications in the postoperative
period. Especially it is possible to note ease of extraction of a cholic bubble from an abdominal cavity through a monoport.
Conclusions. Can be noted that the duration of the operation and the course of the postoperative period, with the use
of a single laparoscopic access through the navel, is comparable to classical laparoscopy. Cosmetic effect after operations
from a single laparoscopic approach is assessed by patients above. This leads to an improvement in their quality of life.
