Mini-laparoscopic cholecystectomy: evolution of a new technique

Abstract

Background Since the first laparoscopic cholecystectomy (LC) in 1985, there has been much advancement in laparoscopic surgery in terms of reduction in number and size of ports. We report a new technique of performing mini laparoscopic cholecystectomy using only three ports, 5 mm each. The indications of this procedure include GB polyps, GB dyskinesia, microlithiasis, and idiopathic pancreatitis. Case presentation In this case report, we present a new technique that has been performed safely in a 49-year-old male patient with pancreatitis caused by microlithiasis. This was performed using a novel three port procedure consisting of only 5 mm ports, and he was discharged as a day case without complications. Informed patient consent was obtained. Conclusions The fundamentals of this mini-LC technique remain the same as that of a standard laparoscopic cholecystectomy throughout the procedure. It is a feasible option in selected cases, and it has the potential to further augment the inherent benefits of minimal access surgery namely less analgesia, improved cosmesis and faster recovery. Further trials will help ascertain its potential advantages.

Comparison of Outcome between Drain and No Drain after Elective Laparoscopic Cholecystectomy

“…Nasir et al reported a gallstone prevalence of 60% among 150 Pakistani patients 3 . Laparoscopic cholecystectomy (LC) is considered the gold standard treatment for removing gallstone removal.Innovations in the LC procedure continue to improve the overall success of the procedure 4,5 . Laparoscopic surgery is associated with minor incisions, reduced hospitalization times, reduced postoperative discomfort, rapid recovery and reduced infection susceptibility 6 .…”