Routine mini-laparoscopic cholecystectomy: Outcome in 200 patients - 24/05/17
, M. Gaillard a, b, A. Debelmas a, b, S. Ferretti a, b, P. Lainas a, b, I. Dagher a, bBienvenue sur EM-consulte, la référence des professionnels de santé.
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Summary |
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.
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.
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).
Conclusion |
Mini-laparoscopy can be used for routine elective cholecystectomy. This approach is associated with low morbidity and good cosmetic results.
Le texte complet de cet article est disponible en PDF.Keywords : Cholecystectomy, Laparoscopy, Mini-laparoscopy
Plan
Vol 154 - N° 2
P. 73-77 - avril 2017 Retour au numéro
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