<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202020000100022</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2020.abril.22-25</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Triple incisión umbilical para la colecistectomía videolaparoscópica]]></article-title>
<article-title xml:lang="en"><![CDATA[Triple umbilical incision for videlaparoscopic cholecystectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Cabral]]></surname>
<given-names><![CDATA[Héctor Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jara]]></surname>
<given-names><![CDATA[Angel Julián Acevedo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortellado-Narváez]]></surname>
<given-names><![CDATA[Nelson Inocencio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedrozo-Amarilla]]></surname>
<given-names><![CDATA[Luz Analía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202020000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202020000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202020000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La cirugía laparoscópica a través de un puerto único se realiza básicamente colocando un dispositivo a través de una única incisión (entre 18mm a 50 mm), en la cual se colocan varios trócares en el mismo. Nuestro trabajo consiste en la realización de 3 pequeñas incisiones y la colocación de tres trocares de 5 mm con la utilización de instrumentales convencionales de 36 cm de longitud de cirugía laparoscópica dentro de los límites internos del ombligo.  Objetivo: Describir la técnica operatoria y evaluar los resultados iniciales de una opción de colecistectomía laparoscópica a través de tres incisiones intraumbilical.  Métodos: Es un estudio retrospectivo, descriptivo, multicéntrico y observacional. De Junio del 2014 a Agosto del 2019. Fueron intervenidos por este método 20 pacientes, 17 de sexo femenino y 3 de sexo masculino, en un rango de edad de 16 a 65 años. El promedio del tiempo quirúrgico fue de 65 minutos.  Resultados: En todos los casos se concluyeron los procedimientos por la vía de abordaje intraumbilical. Uno de los casos, se tuvo que reintervenir por hemorragia intraabdominal, sangrado de la rama posterior de la arteria cística.  Conclusiones: la técnica propuesta es reproducible, no se cuenta con la habitual triangulación de los puertos por lo que amerita del cirujano un grado de entrenamiento avanzado en cirugía laparoscópica. Los casos deben ser selectivos.  Palabras clave: triple incisión, ombligo, colecistectomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The laparoscopic surgery is done by using a single port. You place a device through a single incision between 18mm to 50mm and 3-4 trocars can be used. Our work consists of making 3 little incisions to put the three trocars which measure 5 mm and use conventional instruments that measure 36 cm of length of laparoscopic surgery within the internal limits of the umbilicus  Objective:  Describe the surgery technique and evaluate the initial results of a laparoscopic cholecystectomy option through three intraumbilical incisions.  Methods:  It is a retrospective, descriptive, multicentre and observational study. Since June 2014 to August 2019, 20 patients, 17 female and 3 male, were operated using this method from the age ranges of 16 to 65 years old. The average surgical time was 65 minutes.  Results:  In all cases the procedures were concluded by the intraumbilical approach. One of the cases had to be re-operated due to intraabdominal bleeding from the posterior branch of the cystic artery.  Conclusions:  the technique is reproducible; the usual triangulation of the ports is not available. Therefore fort this technique the surgeon needs to have experience and have had advanced training in laparoscopic surgery. The cases must be selective.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[triple incision]]></kwd>
<kwd lng="en"><![CDATA[umbilicus and cholecystectomy]]></kwd>
</kwd-group>
</article-meta>
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