Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study
Background: Laparoscopic cholecystectomy has been accepted as a gold standard for the surgical treatment of gallbladder diseases. In comparison with open surgery, the minimally invasive procedures are considered as a superior method. Using the port smaller than ports in standard laparoscopic chol...
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| Format: | Article |
| Language: | English |
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College of medicine/ University of Diyala
2018-12-01
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| Series: | Diyala Journal of Medicine |
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| Online Access: | http://djm.uodiyala.edu.iq/index.php/djm/article/view/177 |
| _version_ | 1797454749250879488 |
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| author | Sardar Hassan Arif |
| author_facet | Sardar Hassan Arif |
| author_sort | Sardar Hassan Arif |
| collection | DOAJ |
| description |
Background: Laparoscopic cholecystectomy has been accepted as a gold standard for the surgical treatment of gallbladder diseases. In comparison with open surgery, the minimally invasive procedures are considered as a superior method. Using the port smaller than ports in standard laparoscopic cholecystectomy are used by some surgeons.
Objective:The outcome of miniport laparoscopic cholecystectomy and standard laparoscopic cholecystectomy and their intraoperative complications were examined and evaluated in the current study.
Patients and Methods: In this randomized-controlled trial, the same number (65) of patients ,matched for gender underwent miniport laparoscopic cholecystectomy and standard laparoscopic cholecystectomy in a private hospital in Iraq from March 2016 to October 2017 following taking ethical clearance from the local department.
Results: The mean age of the patients in miniport and standard arms were 44.82 and 42.85 years, respectively. The study showed that the patients underwent standard laparoscopic cholecystectomy had a significantly shorter operation duration and a substantially higher pain score after 2, 6, and 12 hours of the surgery. The patients in standard group had a lower cosmetic score (P<0.001). The miniport laparoscopic cholecystectomy was completed in more than 80% of the patients. Only one patient converted to open surgery and 11 to standard laparoscopic cholecystectomy. One patient in standard group was converted to open operation only. No significant change was seen in intraoperative complications between two study groups (P=0.907) and the complications were not serious.
Conclusion: The miniport technique was non-inferior to standard laparoscopic cholecystectomy while was superior for cosmesis and pain severity .
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| first_indexed | 2024-03-09T15:41:35Z |
| format | Article |
| id | doaj.art-26f3df07c8c448cd811cbda85d5d9fbc |
| institution | Directory Open Access Journal |
| issn | 2219-9764 2617-8982 |
| language | English |
| last_indexed | 2024-03-09T15:41:35Z |
| publishDate | 2018-12-01 |
| publisher | College of medicine/ University of Diyala |
| record_format | Article |
| series | Diyala Journal of Medicine |
| spelling | doaj.art-26f3df07c8c448cd811cbda85d5d9fbc2023-11-24T23:24:32ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822018-12-01152Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative studySardar Hassan Arif Background: Laparoscopic cholecystectomy has been accepted as a gold standard for the surgical treatment of gallbladder diseases. In comparison with open surgery, the minimally invasive procedures are considered as a superior method. Using the port smaller than ports in standard laparoscopic cholecystectomy are used by some surgeons. Objective:The outcome of miniport laparoscopic cholecystectomy and standard laparoscopic cholecystectomy and their intraoperative complications were examined and evaluated in the current study. Patients and Methods: In this randomized-controlled trial, the same number (65) of patients ,matched for gender underwent miniport laparoscopic cholecystectomy and standard laparoscopic cholecystectomy in a private hospital in Iraq from March 2016 to October 2017 following taking ethical clearance from the local department. Results: The mean age of the patients in miniport and standard arms were 44.82 and 42.85 years, respectively. The study showed that the patients underwent standard laparoscopic cholecystectomy had a significantly shorter operation duration and a substantially higher pain score after 2, 6, and 12 hours of the surgery. The patients in standard group had a lower cosmetic score (P<0.001). The miniport laparoscopic cholecystectomy was completed in more than 80% of the patients. Only one patient converted to open surgery and 11 to standard laparoscopic cholecystectomy. One patient in standard group was converted to open operation only. No significant change was seen in intraoperative complications between two study groups (P=0.907) and the complications were not serious. Conclusion: The miniport technique was non-inferior to standard laparoscopic cholecystectomy while was superior for cosmesis and pain severity . http://djm.uodiyala.edu.iq/index.php/djm/article/view/177Miniport laparoscopic cholecystectomy , Standard laparoscopic cholecystectomy, Complication, small ports laparoscopic cholecystectomy. |
| spellingShingle | Sardar Hassan Arif Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study Diyala Journal of Medicine Miniport laparoscopic cholecystectomy , Standard laparoscopic cholecystectomy, Complication, small ports laparoscopic cholecystectomy. |
| title | Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study |
| title_full | Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study |
| title_fullStr | Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study |
| title_full_unstemmed | Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study |
| title_short | Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study |
| title_sort | mini laparoscopic cholecystectomy versus standard laparoscopic cholecystectomy a comparative study |
| topic | Miniport laparoscopic cholecystectomy , Standard laparoscopic cholecystectomy, Complication, small ports laparoscopic cholecystectomy. |
| url | http://djm.uodiyala.edu.iq/index.php/djm/article/view/177 |
| work_keys_str_mv | AT sardarhassanarif minilaparoscopiccholecystectomyversusstandardlaparoscopiccholecystectomyacomparativestudy |