Adhesion formation with open versus laparoscopic cholecystectomy: an immunologic and histologic study

Abstract

This randomized study proved that laparoscopic cholecystectomy was associated with less immune suppression, less inflammatory reaction, and therefore less adhesion formation than open cholecystectomy.

Laparoscopic partial vs total splenectomy in children with hereditary spherocytosis

“…Further follow-up will be necessary in our patients to determine if this risk is the same after LPS as it is after open partial splenectomy. However, it is likely that the completion splenectomy required in those patients could be accomplished laparoscopically as well and would be easier because of the relative lack of adhesions seen after laparoscopic compared to open surgery [24]. Another spleen-preserving alternative to partial splenectomy is partial splenic embolization [25].…”

Laparoscopic versus open approach for implantation of the peritoneal catheter during ventriculoperitoneal shunt placement

“…This technique allows the surgeon to verify optimal peritoneal catheter placement and observe cerebrospinal fluid exiting the catheter, confirming functionality. Less inflammation occurs with laparoscopy, which leads to decreased formation of adhesions [12], and may be especially important in younger patients in whom multiple future shunt placements are likely. Compared with minilaparotomy, laparoscopic incisions are usually only 5 mm, leading to improved cosmesis and reduced risk of developing incisional hernias.…”

“…In addition, cosmesis and postoperative pain are improved, formation of peritoneal adhesions is decreased, and risk of incisional hernia is reduced [10][11][12]. The goal of this study is to compare outcomes of the laparoscopic and open techniques for placement of the abdominal portion of ventriculoperitoneal shunt catheters.…”

Ventriculoperitoneal shunting: Laparoscopically assisted versus conventional open surgical approaches

“…In addition, it may accelerate post-operative recovery by decreasing post-operative pain with less prescription medications used (which should translate into a lower ileus rate in cases of narcotics) and allow for early mobilization resulting in a shorter length of stay in the hospital, which lessens the risk of pneumonia and deep venous thrombosis. [10111213]…”