Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?

Document Type : Original Article

Authors

1 Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

2 Department of Surgery, Faculty of Medicine, Misr University for Science and Technology, Egypt

3 Department of Surgery, Faculty of Medicine, Helwan University, Egypt

4 Nasser Institute for Research and Treatment, Egypt

Abstract

Objective: To evaluate the mini-laparotomy cholecystectomy (MC) and to compare it with the current gold standard
laparoscopic cholecystectomy (LC).
Patients and methods: In this prospective study, 1854 consecutive patients with ultrasound proven symptomatic
cholelithiasis, were recruited to study two different surgical techniques for cholecystectomy; the MC through a 5-7
cm muscle cutting incision (923 patients) and the 4 ports Laparoscopic technique (931 patients).
Results: The groups were well matched for age and sex and presenting symptoms. The mean durations of surgery
in both groups were similar. There was no significant difference in the conversion rates of both procedures. While
there was a significant difference between the 2 groups regarding the time of return to normal activity, it was
13.9±7 days for MC and 7.6±6 days for LC (p=0.041).
Conclusion: There is no superiority of one technique over the other. The MC is a safe procedure in experienced
hands, applicable and effective therapeutic option for gallstone disease with comparable outcomes to the
laparoscopic approach.

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