Year: 2017
Type: article
Study design: Observational Study
Abstract: Introduction: The use of smaller instruments in laparoscopy has been hypothesized to reduce pain and increase cosmesis.However, although nearly 2 decades have passed since the first mini-laparoscopic cholecystectomy (MLC), it has gained little interest.The aim of this study was to compare the outcomes of MLC with a traditional laparoscopic cholecystectomy (TLC). Materials and Methods:Patients who underwent MLC between February 6, 2016 and October 26, 2016 were included in this study.As a comparison group, patients who had TLC performed during the same period were also evaluated.The variables studied were demographic details, operating time, blood loss, postoperative pain score, length of hospital stay, and the early (<30 day) complication rate.Results: A total of 16 MLCs and 75 TLCs were performed.In the MLC group, there were 6 (37.5%) men and 10 (62.5%) women with a mean age of 40.94±12.3years.In the comparison group, there were 35 (46.7%) men and 40 (53.3%)women with a mean age of 46.36±14.86years.No patients were converted to open surgery.The average operating time was 47.06±15.15minutes in the MLC group and 70.53±40.04minutes in the TLC group (p=0.021).The average blood loss was 1.88±1.86mL and 10.00±22.19mL in MLC and TLC groups, respectively (p=0.005).The mean Visual Analogue Scale (VAS) score was 30.00±19.66 and 32.93±21.59,respectively, and the length of hospital stay was 1.19±0.40days and 1.47±1.09days in MLC and TLC groups, respectively (p=0.689 and p=0.486, correspondingly).There were 2 (2.2%) early (<30 days) postoperative complications.The mortality was nil.Conclusion: According to the results of this preliminary study, MLC was a safe and feasible variant of laparoscopic cholecystectomy.With respect to the length of hospital stay and complication rate, both procedures were equal.Additionally, a decrease in the incisional hernia rate of the "mini" ports could be hypothesized.Further studies with a larger cohort are needed.
Author: Deniz Atasoy
Institution: Acıbadem University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2778970760