Simultaneous cholecystectomy and hernia repair through three holes

Mr. Zhang, 64 years old, suffered from chronic cholecystitis, gallbladder stones and right inguinal hernia at the same time, which required surgical treatment. Recently, the Department of General Surgery of Yangpu Hospital affiliated with Tongji University, after careful design, used minimally invasive methods to pass through three small holes of about 50px in total length of the abdomen, and in less than one hour, performed laparoscopic cholecystectomy and right inguinal hernia repair for Mr. Zhang, which was successful, and the patient recovered from the hospital in two days after the operation. According to Dr. Jian Li from the Department of General Surgery of Yangpu Hospital, Tongji University, who was the surgeon in charge of the operation, if the traditional surgical method was used, an incision would be made in the patient’s upper and lower abdomen, with a total length of nearly 500px, and the patient might need to undergo multiple surgeries. Postoperative pain is obvious, recovery is slower, and the total financial cost is higher. Minimally invasive can be more fully utilized when dealing with combined upper and lower abdominal surgeries, such as cholecystitis combined with appendicitis, cholecystitis combined with gynecological diseases, and hepatic cysts combined with lower abdominal diseases. For some patients with acute abdominal diseases whose diagnosis is not clear and need to be explored by caesarean section, the surgeon is often faced with the choice of incision in traditional surgery, which sometimes causes difficulties in surgery due to improper choice of incision and greatly increases the risk of surgery, while minimally invasive surgery is more capable of observing the abdominal cavity comprehensively and searching for the root cause of the disease during the exploration. Dr. Gao Feng, deputy chief physician, who also participated in this surgery and has rich experience in hernia repair, believes that although hernia repair technology has gone through a qualitative change from tension repair to tension-free repair in the past two decades, and achieved more satisfactory clinical results in terms of postoperative pain and recurrence, the open tension-free repair method often exists in the form of a large peeling surface, the patch is not easy to place in place, and hidden hernia is missed, which brings some complications to the patients. However, open tension-free repair methods often have large peeling surface, patch placement is not easy to place in place, hidden hernia was missed, and so on, bringing some complications to patients. Laparoscopic repair of inguinal hernia is more scientific and simple, it can observe the whole inguinal area, quickly find the defective area of the abdominal wall and completely repair the whole inguinal area, one-time repair of inguinal hernia, oblique hernia and femoral hernia area. The surgery is less traumatic, local pain is mild, postoperative recovery is fast and recurrence rate is extremely low. Minimally invasive technology can show its advantages in the treatment of bilateral hernia and recurrent hernia. The Department of General Surgery of Yangpu Hospital of Tongji University has accumulated rich experience in minimally invasive cholecystectomy, biliary lithotripsy and hernia repair. This year, after Prof. Yin Lu and Mr. Lin Moubin joined the Department of Gastrointestinal Surgery of Ruijin Hospital, the department has risen to a new level in the treatment of colorectal cancer, ultra-low anus preservation and constipation surgery.