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Routine mini-laparoscopic cholecystectomy: Outcome in 200 patients.

Authors :: Dammaro C
Tranchart H
Gaillard M
Debelmas A
Ferretti S
Lainas P
Dagher I
Source :: Journal of visceral surgery [J Visc Surg] 2017 Apr; Vol. 154 (2), pp. 73-77. Date of Electronic Publication: 2016 Sep 09.
Publication Year :: 2017
Abstract: Introduction: In order to improve the outcome of classical laparoscopic cholecystectomy (CLC), surgeons have attempted to minimize tissue trauma. The aim of this study is to describe the technique of mini-laparoscopic cholecystectomy (MLC) and to report the outcome of this approach when used as a routine procedure.<br />Methods: Since January 2012, all consecutive patients undergoing MLC were included in this study. Operative and perioperative data were prospectively collected. Additionally, cost analysis was performed.<br />Results: From 2012 to 2015, 200 MLC were performed (F/M: 132/68, mean age 45±16 years). Mean operative duration was 97±32min for the first 50 patients and 75±25min for the subsequent 150 patients (P<0.0001). Modifications in the number or size of trocars were necessary in nine of the first 50 procedures and in seven of the subsequent 150 procedures (P=0.003). Perioperative morbidity included gallbladder perforation (n=28) or moderate (<50mL) bleeding (n=6). Postoperative morbidity was 4%. The mean global cost for a MLC procedure was 1757±1855 euros. This cost decreased from 2946±3115 euros in the first 50 patients to 1390±1278 euros in the subsequent 150 patients (P=0.001).<br />Conclusion: Mini-laparoscopy can be used for routine elective cholecystectomy. This approach is associated with low morbidity and good cosmetic results.<br /> (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)