ABDOMINAL-WALL LIFTING WITH SUBCUTANEOUS WIRING - AN EXPERIENCE OF 50CASES OF LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT PNEUMOPERITONEUM

Abdominal wall lifting is a method to produce operative space between the anterior abdominal wall and the intra-abdominal organs during lapa roscopic surgery. We devised a hanger lifting procedure for the anteri or abdominal wall to avoid complications as well as reduce the costs r elated to the pneumoperitoneum. In our series, we performed 50 cases o f laparoscopic cholecystectomy with this abdominal wall-lifting proced ure. Though at the beginning we performed laparoscopic cholecystectomy by the pneumoperitoneum, we discarded the insufflator for this operat ion since starting the new procedure. There was no incidence of conver sion to pneumoperitoneum and a fairly good operative view was achieved enabling a smooth laparoscopic cholecystectomy.