Mini-cholecystectomy versus laparoscopic cholecystectomy: a retrospective multicentric study among patients operated in some Eastern Libyan hospitals

Almahjoub, Aimen; Elfaedy, Osama; Mansor, Salah; Rabea, Ali; Abdulrahman, Abdugadir Mahmoud; Alhussaen, Almontaser

doi:10.5578/turkjsurg.4208

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…traditional cholecystectomy with big incision . Though mini cholecystectomy is an open technique yet it can be considered as a good substitute for removal of gall bladder stone for surgeons who are not well accustomed with [12] laparoscopic cholecystectomy . L a p a r o s c o p y i s g o l d s t a n d a r d f o r cholecystectomy because of decrease pain, hospital stay and wound complication but it need expertise, more learning cure, its cost is slightly high and it has high incidence of [13] common bile duct injuries .…”

Section: Methodsmentioning

confidence: 99%

Comparison of Mini Cholecystectomy Versus Open Cholecystectomy in Patients With Cholelithiasis

Qasrani

Faizan²,

Siddique³

et al. 2020

jumdc

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ABSTRACT Objectives: The objective of this study is to compare the outcome of mini cholecystectomy with open conventional cholecystectomy in the management of cholelithiasis. Study Design: This was a randomized controlled trial. Study Period: Study was conducted in Department Of Surgery, Teaching Hospital Dera Ghazi Khan, from June 2017 to Dec 2017 for a period of six month. Patients and Methods: A total of 100 cases; 50 cases in each group was included in the study. 100 patients were admitted from OPD of Teaching Hospital Dera Ghazi Khan fulfilling inclusion criteria. Demographic information was recorded. All admitted patients were diagnosed on the basis of history, clinical examination and relevant investigations. Written consent was obtained. Data entry and analysis was done by using SPSS 11. Data was analyzed according to the proposed analysis plan. Results: Mean age of all patients was 39.96±3.84 years. Age range of patients was 30-48 years. In Group-A mean hospital stay was 5.38±1.15 and in Group-B mean hospital stay was 3.02±0.58 days respectively. At 1st visit 14(28%) patients in Group-B and only 1(2%) patient in Group-A had wound infection. According to p-value wound infection was significantly associated with treatment group. Patients in Group-A had less infection rate as compared to Group-B patients. i.e. (p-value=0.000) Whereas at 2nd visit 8(16%) patients in Group-B and 3 patients in Group-A suffered from wound infection. At 2nd visit wound infection was statistically same in both treatment groups. i.e. (p-value=0.110). It was observed that in Group-B only 44(88%) of the patients had severe pain whereas only 12(24%) of the patients in Group-A had severe pain. Keeping in mind this results rate of severe pain at 12th hour was high in Group-B patients as compared to Group-A patients. i.e. (p-value=0.000). Conclusion: Mini cholecystectomy is effective and associated with less patients discomfort in terms of post operative pain and infection as well as with less hospital stay.

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Section: Methodsmentioning

confidence: 99%

Comparison of Mini Cholecystectomy Versus Open Cholecystectomy in Patients With Cholelithiasis

Qasrani

Faizan²,

Siddique³

et al. 2020

jumdc

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“…These results support laparoscopic cholecystectomy rather than open cholecystectomy as the surgical treatment of choice for gallstone disease. However, a Cochrane review comparing laparoscopic with mini cholecystectomy found no differences in mortality, complications, and postoperative recovery 1,12 . In addition, small incision cholecystectomy had a significantly shorter operative time.…”

Section: Choice Of Surgical Optionsmentioning

confidence: 99%

“…However, the day case procedures cost less [13][14][15] . However, day case surgery is recommended for patients classified as grade 1 `or 2 according to the American Association of Anaesthesiologists' preoperative grading system for physical status [12][13][14][15][16] .…”

Section: Day Case Surgerymentioning

confidence: 99%

Gallstone-related complications and evidence base treatments. A scoop review

Abeysuriya

Dodampahala

2022

Sri Lanka J Obstet & Gynae

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The incidence of gallstones is 10-15%, making it one of the most common causes of surgical admissions. The number of admissions and operations for gallstone disease is increasing. Commonly gallstones are formed in the gallbladder but can also develop in the biliary tree. Commonly, gallstones are made of cholesterol. Even though the exact cause of supersaturation of bile is not known, there are multiple associate factors for gallstone formation. Most patients with gallstones never experience any symptoms, but the risk of presenting with complications related to gallstones is 1%-4% a year. Patients with gallstones can present with pain or other more severe complications that demand surgical treatment and follow-up. This article looks into epidemiology, basic pathophysiology, complications, pregnancy and gallstones, diagnosis and recent evidence base treatment of gallstone disease.

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“…[9][10][11] And was even suggested to be an alternative for the LC if the surgeon had no enough experience with laparoscopy. 12 The aim of this prospective study was to evaluate the outcome following MC technique, and to assess its safety, applicability, efficacy, and its benefit to the patient. Also comparing it with LC, the current gold standard for gall stone disease management, and investigating whether or not it can achieve the goals of rapid postoperative recovery, with comparable complication risks.…”

Section: Introductionmentioning

confidence: 99%

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

Ismail

Merhom

Omar

et al. 2021

Ain Shams Journal of Surgery

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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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Mini-cholecystectomy versus laparoscopic cholecystectomy: a retrospective multicentric study among patients operated in some Eastern Libyan hospitals

Cited by 4 publications

References 17 publications

Comparison of Mini Cholecystectomy Versus Open Cholecystectomy in Patients With Cholelithiasis

Comparison of Mini Cholecystectomy Versus Open Cholecystectomy in Patients With Cholelithiasis

Gallstone-related complications and evidence base treatments. A scoop review

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

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