Laparoscopic Cholecystectomy During Abdominoplasty: Case Report

Year 2013, Volume: 38 Issue: 2, 319 - 324, 01.06.2013

Kazim Duman Ahmet Fikret Yucel Ahmet Pergel Ayse Burce Karantinaci Tuna

Abstract

We aimed to present the phenomenon of laparoscopic cholecystectomy and abdominoplasty which we diagnosed at the same period the abdominal laxation, diastase of rectum and cholelithiasis that we think in the literature the first samples without leaving any trocar entrance mark.A 58 year old female patient has consulted to the polyclinic of plastic surgery due to prolapsus on the abdominal region. Gall bladder multiplestones were ascertained through abdominal ultrasonograpy. On request and to provide minimal cosmetic failure to the patient, cholecystectomy and abdominoplasty is performed at the same session. Patients with abdominal pathologies that may occur after operations requiring surgery such as abdominoplasty very serious impact on cosmetics. Concordantly, we strongly suggest to take abdominal USG, even if there is no additional complaints especially before the plastic surgery operations and abdominoplasty, for ascertain the existent patologies.

Keywords

Abdominoplasty, Laparoscopy, Cholecystectomy.

Abdominoplasti Esnasinda Laparoskopik Kolesistektomi: Olgu Sunumu

Abstract

Abdominal gevşeklik, rektus diastazı ve kolelitiyazis tanısı koyup aynı seansta trokar giriş yeri izi olmadan yapmış olduğumuz laparoskopik kolesistektomi ve abdominoplasti olgusunu sunmayı amaçladık. 58 yaşında kadın hasta karında sarkma nedeniyle plastik cerrahi polikliniğine müracaat etti. Hastaya diastazis rekti tanısı kondu. Patolojinin düzeltilmesi amacı ile hastaya diastazis rekti tamiri ile birlikte abdominoplasti önerildi. Aynı zamanda mide bulantısı, yemeklerden sonra şişkinlik, sırt ağrısı şikayetlerinin de olması üzerine genel cerrahi konsültasyonu istendi. Yapılan batın ultrasonografisinde safra kesesinde en büyüğü 15 mm olan multipl kalküller saptandı. Aynı seansta kolesistektomi ve abdominoplasti planlandı. Ameliyat sonrası takiplerde komplikasyon gelişmeyen hasta postoperatif 4. Günde şifa ile taburcu edildi. Abdominoplasti gibi operasyonlar sonrasında batında oluşabilecek cerrahi gerektiren patolojiler hasta kozmetiğini çok ciddi derecede etkileyebilecektir. Bu açıdan abdominoplasti planlanan hastalarda ek şikayetler varsa ilave konsultasyon ve tetkikler istenmelidir.

Keywords

Laparoskopi, kolesistektomi, abdominoplasti

References

• Louarn CL, Pascal JF The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty. Aesth Plast Surg. 2010; 34:773–81
• Rangaswamy M Lipoabdominoplasty: a versatile and safe technique for abdominal contouring. Indian J Plast Surg. 2008; 41: 48.
• Schirmer BD, Winters KL, Edlich RF Cholelithiasis and cholecystitis. J Long Term Eff Med Implants. 2005; 15:329-38.
• Feyzullah Ersoz, MD, Ozhan Ozcan, MD, Serkan Sari, MD, Hasan Bektas, MD, and Soykan Arikan, MD Laparoscopic Cholecystectomy on the Bikini Line for Invisible Scar Surg Laparosc Endosc Percutan Tech. 2011; 21: 1.
• Pearl JP, Ponsky JL Natural orifice translumenal endoscopic surgery: a critical review. J Gastrointest Surg. 2008; 12:1293–1300.
• Rawlings A, Hodgett SE, Matthews BD. SingleIncision Laparoscopic Cholecystectomy: Initial Experience with Critical View of Safety Dissection and Routine Intraoperative Cholangiography. J Am Coll Surg. 2010; 211:1–7.
• Podolsky ER, Rottman EJ, Curcillo PG. Single Port Access (SPA) Cholecystectomy: Two Year Followup. JSLS. 2009;13: 528–35.
• Curcillo PG, Wu AS, Podolsky ER Single-portaccess (SPATM) cholecystectomy: a multiinstitutional report of the first 297 cases. Surg Endosc. 2010; 24:1854–60.
• Valioulis I, Levard G, Lottmann H, Hameury F, Cendron J. A rare complex bladder exstrophy variant. BJU Int. 2000; 86:398-400.
• Marshall VF, Muecke EC. Variations in exstrophy of the bladder. J Urol. 1962; 88:766-96.
• Navarra G, Pozza E, Occhionorelli S. One-Wound Laparoscopic Cholecystectomy. Br J Surg. 1997; 84:6
• Ersin S, Firat O, Sozbilen M. Single-Incision laparoscopic cholecystectomy: is it more than a challenge? Surg Endosc. 2010; 24:68–71.
• Hirano Y, Watanabe T, Uchida T, et al. SingleIncision Laparoscopic Cholecystectomy: Single Institution Experience and Literature Review. World J Gastroenterol. 2010;16: 270–74.
• Dubcenco E, Assumpcao L, Dray X Adhesion formation after peritoneoscopy with liver biopsy in a survival porcine model: comparison of laparotomy, laparoscopy, and transgastric natural orifice transluminal endoscopic surgery (NOTES). Endoscopy. 2009; 41:971–8.
• Pearl JP, Ponsky JL. Natural orifice translumenal endoscopic surgery: a critical review. J Gastrointest Surg. 2008; 12:1293–1300.
• Tsin DA. Rectovaginal extraction of the intact specimen following laparoscopic radical nephrectomy. J Urol. 2001;168:1110.
• Tsin AD, Sequeria RJ, Giannikas G. Culdolaparoscopic cholecystectomy during vaginal hysterectomy. JSLS. 2003; 7:171–2.
• Yazışma Adresi / Address for Correspondence: Dr. Kazim Duman Gümüşsuyu Military Hospital Department of Surgery İSTANBUL e-mail: [e-mail] geliş tarihi/received :07.08.2012 kabul tarihi/accepted:07.12.2012