Prospective randomized blinded trial of pulmonary function, pain, and cosmetic results after laparoscopic vs microlaparoscopic cholecystectomy

Schwenk, W.; Neudecker, Jens; Mall, Julian W.; Böhm, Bartholomäus; Müller, J. M.

doi:10.1007/s004640020063

Cited by 78 publications

(80 citation statements)

References 11 publications

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“…After the birth of NOTES, followed by LESS, there were a extensive research on procedures less aggressive than lapa roscopy and with better aesthetic results (8,14) . Based on the experience of several authors with minilapa roscopy and the development of new materials (1,3,6,9,10,11,12,13,14) , we have performed 27 gastrofundoplications using mini instru ments. Of the 27 patients, 23 were female and 4 male.…”

Section: Discussionmentioning

confidence: 99%

“…Since 2004, after the first publication on NOTES (8,14) less invasive techniques with better cosmetic results than the already esta blished laparoscopy has emerged. In Brazil, Gus tavo Carvalho (3,4,5) shown very convincing results in respect to cosmesis using instruments 2 and 3 mm, without the need for costly new equipment, or extensive learning curves of new methods such as laparoendos copic single site surgery (LESS) or NOTES (6,11,12,13) . Our objective in this study is to present some technical adaptations that allows us to perform fun doplication and hiatoplasty with minilaparoscopic instruments.…”

Section: Minilaparoscopic Fundoplication Technical Adaptations and Imentioning

confidence: 99%

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Minilaparoscopic fundoplication: technical adaptations and initial experience

Loureiro

Claus

Carvalho

et al. 2012

Arq. Gastroenterol.

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CONTEXT: Gastroesophageal reflux diasease (GERD) is a highly prevalent disease. Treatment is divided into lifestyle modifications, medical and surgical treatment. Surgical laparoscopy is the gold standard treatment. In the last decade, there were an extensive research on procedures, less aggressive than laparoscopy and with better esthetic results. Minilaparoscopy is "reemerging" as a safe, effective and with excellent cosmetic results in selected patients treated for gastroesophageal reflux diasease. We present a serie of 27 patients treated for GERD by minilaparoscopic laparoscopy. MATERIAL: Between October 2009July 2011 a total of 27 patients underwent fundoplication by minilaparoscopy. It is used one 10mm trocar, a telescope of 30 degrees and four 3 mm trocars at regular positions. Regular surgical steps are done with no modifications. Cardiac tape, suture needles, and eventually extracting bag, gauze, are placed and taked out through the umbilical port. With these technical adjustments, we can perform the procedure safely and effectively, similarly to standard laparoscopic technique. RESULTS: Of the 27 patients, 22 were female and 5 male. The average body mass index was 25.5 kg/m². Hiatal hernias were small (<3 cm) in 24 patients. Mean operative time was 60 minutes. In all cases the hiatoplasty was performed with simple or 'x' stiches of 2.0 Ethibond. There was no need for conversion to standard laparoscopy or open surgery. The length of hospital stay was less than or equal to 24 hours in all patients. In this series of patients there were no postoperative complications. We did not observe any complication of the surgical wound. There were no evidence of recurrence of symptoms or endoscopic changes. CONCLUSION: Hiatoplasty associated with fundoplication using minilaparoscopic instruments is safe, feasible and effective. If compared to other "new access", has a spectacular esthetic results. Can be done with only minor technical adjustments, for any experienced laparoscopic surgeon, and is perfectly adaptable to our financial reality.

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Section: Discussionmentioning

confidence: 99%

Section: Minilaparoscopic Fundoplication Technical Adaptations and Imentioning

confidence: 99%

Minilaparoscopic fundoplication: technical adaptations and initial experience

Loureiro

Claus

Carvalho

et al. 2012

Arq. Gastroenterol.

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“…Operative time varies with different studies as few require less and few more than the conventional technique. [10][11][12][13][14] The operative difficulty is based on the status of gallbladder, adhesions around the gallbladder fossa, Calot's triangle, and cystic duct anatomy. The conversion rates from two-port mini LC to four-port LC and open cholecystectomy in many studies are in the range of 23 to 38%.…”

Section: Two-port Mini Lcmentioning

confidence: 99%

Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature

Tabrez¹,

Mishra²,

Chowhan³

2017

WJOLS

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Introduction: Laparoscopic cholecystectomy (LC) is the gold standard for the removal of gallbladder stones. In an attempt to reduce the invasiveness of the procedure, surgeons have done various modifications like reduction of port size and/or number, which is used in conventional LC. The main objective of this review is to compare the two-port mini LC with other techniques of LC like conventional four-port laparoscopic surgery or single-incision laparoscopic cholecystectomy (SILC) in elective laparoscopic cholecystectomy and determine the outcome of two-port mini LC.

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“…[4,[11][12][13][14][15] However, so-called 'mini' approach gained little interest most probably due to decreased durability of the reduced size instruments, poorer optical resolution and the smaller jaws of the instrument tips. [1,4] The use of thinner instruments has been hypothesized to reduce pain and increase cosmesis.…”

Section: Introductionmentioning

confidence: 99%

Mini-laparoscopic versus Traditional Laparoscopic Cholecystectomy: preliminary study

Atasoy¹,

Aghayeva²,

Özben³

et al. 2018

Laparosc Endosc Surg Sci

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Prospective randomized blinded trial of pulmonary function, pain, and cosmetic results after laparoscopic vs microlaparoscopic cholecystectomy

Abstract: Because microlaparoscopic cholecystectomy has some minor advantages over laparoscopic surgery, it should be considered for use in selected patients.

Cited by 78 publications

References 11 publications

Minilaparoscopic fundoplication: technical adaptations and initial experience

Minilaparoscopic fundoplication: technical adaptations and initial experience

Two-port Mini vs Conventional Four-port vs Singleincision Laparoscopic Cholecystectomy: An Update with Review of Literature

Mini-laparoscopic versus Traditional Laparoscopic Cholecystectomy: preliminary study

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