Use of non-powder surgical glove for extraction of gallbladder in laparoscopic cholecystectomy

Authors: Yano H.; Okada K.; Kinuta M.; Iwazawa T.; Kanoh T.; Monden T.

Source: Digestive Endoscopy, Volume 15, Number 4, October 2003 , pp. 315-319(5)

Publisher: Wiley-Blackwell

Abstract:

Background:

The present study was conducted to evaluate the usefulness and safety of the non-powder surgical glove for extraction of the gallbladder in laparoscopic cholecystectomy. Methods:

A total of 830 patients who underwent laparoscopic cholecystectomy using the surgical glove for extraction of the gallbladder in our hospital were analyzed. The operative times, blood loss during the operation, intra- and postoperative complications, length of hospital stay and the rate of morbidity were evaluated. Results:

The mean operative time, mean intraoperative blood loss and mean length of hospital stay were 98.9 min, 12.1 g, and 7.93 days, respectively. The most frequent complication in this study was postoperative bleeding from the liver bed or port sites. Postoperative wound infection was found in six (0.72%) of 830 cases. Umbilical port infection was found in five of six cases. Seven cases with gallbladder cancer were incidentally detected by intra- or postoperative pathology. Five cases underwent reoperation by open laparotomy to resect the regional lymph nodes. Two cases have been followed up, because the depth of cancer invasion was limited to the mucosa of the gallbladder. There was no intra-abdominal abscess formation and no port site metastasis in this study. Conclusion:

The use of the surgical glove for extraction of the gallbladder is safe, cheap, simple and potentially reduces significant morbidity. Its routine use at laparoscopic cholecystectomy is strongly advocated where bile leak occurs or tumor is suspected.

Keywords: laparoscopic cholecystectomy; non-powder surgical glove; port site metastasis; retrieval bag; wound infection

Document Type: Research article

DOI: http://dx.doi.org/10.1046/j.1443-1661.2003.00263.x

Affiliations: 1: Department of Surgery, NTT West Osaka Hospital, Osaka, Japan

Publication date: 2003-10-01

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