Colecistectomía laparoscópica por puerto umbilical asistido

background: transumbilical laparoscopic surgery offers substantial esthetic benefits. the use of a second port to introduce a second trocar, reduces the need of special or articulated instruments. aim: to report the experience with transumbilical cholecystectomy, assisted using a second port, to reduce technical complexity. patients and methods: the surgical technique was prospectively evaluated in 60 patients aged 18 to 77 years (39 women), that required a cholecystectomy. all had a surgical risk classified according to the american society of anesthesiologists (asa) as i or ii. patients with gallbladder cancer, choledocholithiasis, were excluded. two trocar (10 and 5 mm) were introduced by transumbilical incision and other one 5 mm trocar was introduced in the right iliac fossa for 0° frontal optics. results: the mean operative time was 72 minutes (range 35-165). fifty seven patients had a 24 h hospital stay. two patients had to be converted to open surgery due to a complex pedicle dissection and one patient required an additional trocar. there were three complications. an umbilical seroma, a bile leakage through a luschka duct, that was managed conservatively and one bile tract stenosis, that appeared four months after the operation and required surgical repair. conclusions: transumbilical cholecystectomy using a second additional port was a successful procedure, with similar esthetic results as single port surgery, but less costly.