Complete percutaneous laparoscopic cholecystectomy by employing the Percuvance Percutaneous Surgical System

Konstantinos Sapalidis, Athanasios Katsaounis, Stylianos Mantalovas, Christoforos Kosmidis, Ioannis Passos, Dimitrios Giannakidis, Efstathios Pavlidis, Nikolaos Michalopoulos, Charilaos Koulouris, Stelian Mogoanta, Valeriu Surlin, Aikaterini Amaniti, Paul Zarogoulidis, Isaak Kesisoglou


Background: Laparoscopic cholecystectomy (LC) has been the gold standard in the treatment of gallbladder disease. More than 50 different techniques of LC have been developed and performed, which seem to offer much in postoperative outcome and cosmesis. However, each has its limitations in practice mainly due to the long learning curve, or lack of appropriate instruments. The current paper studies the application of percutaneous LC employing the Percuvance Percutaneous Surgical System and reports the first documented complete percutaneous LC in the literature.
Methods: Complete percutaneous LC was performed in fifteen patients diagnosed with cholelithiasis, the Percuvance Percutaneous Surgical System from Teleflex was used. All operations were performed with the use of a single 10 mm Hassan Trocar port and a 30º degree camera.
Results: Complete percutaneous LC with the use of percutaneous Instruments was applied in all cases. No conversions to open cholecystectomy were reported. Mean operating time was well within the standard for LC. Postoperatively, no complications were observed, while all patients were discharged the next day. Excellent cosmesis and satisfied patients were the long-term results.
Conclusions: Percutaneous LC with the use of a 10 mm Hassan trocar, bears the potential of being a favorable alternative in cholecystectomy.