Feasibility of Laparoscopic Cholecystectomy with Miniaturized Instrumentation in 50 Consecutive Cases

• Published in: World journal of surgery Vol. 23; no. 2; pp. 128 - 132
• Main Authors: Reardon, Patrick R., Kamelgard, Joseph I., Applebaum, Bruce, Rossman, Lucho, Brunicardi, F. Charles
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer‐Verlag 01.02.1999; Springer Nature B.V
• Subjects: Adult; Aged; Aged, 80 and over; Bile Duct; Bile Duct Injury; Cholecystectomy; Cholecystectomy, Laparoscopic - adverse effects; Cholecystectomy, Laparoscopic - instrumentation; Cholecystectomy, Laparoscopic - methods; Cholecystitis - pathology; Cholecystitis - surgery; Cholelithiasis - pathology; Cholelithiasis - surgery; Common Bile Duct; Common Bile Duct - injuries; Cystic Duct; Cystic Duct - surgery; Equipment Design; Feasibility Studies; Female; Fiber Optic Technology - instrumentation; Humans; Intraoperative Complications; Laparoscopic Cholecystectomy; Length of Stay; Male; Middle Aged; Miniaturization; Minimally Invasive Surgical Procedures - adverse effects; Minimally Invasive Surgical Procedures - instrumentation; Minimally Invasive Surgical Procedures - methods; Safety; Time Factors; Videotape Recording - instrumentation
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/PL00013163

p = NS), and postoperative LOS for the mini‐LC and conventional LC were 1.5 ± 0.2 and 1.8 ± 0.4 days (mean ± SD), respectively, (p= NS). Of the 50 mini‐LC cases, 5 required conversion to conventional LC. One cystic duct leak was detected and successfully treated conservatively; no common bile duct injuries occurred; and no patients required conversion to open cholecystectomy. This study demonstrates the safety and efficacy of minilaparoscopic instruments for the performance of cholecystectomy. The data reveal that this new technique is comparable to conventional LC.