SUBXIPHOID MINIMAL STRESS TRIANGLE MODIFIED MICROCOELIOTOMY CHOLECYSTECTOMY | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 23, Issue 3, July 2004, Page 236-243 PDF (283.19 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2004.373743 | ||||
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| Authors | ||||
| Mahmoud M. Abdul Razek* 1; Sherif A. Mostafa1; Ayman El-Nemr1; Hussam S. Hassan1; Zakaria H. Alrosassy2 | ||||
| 1Departments of General Surgery Faculty of Medicine, Tanta University | ||||
| 2Anesthesia, Faculty of Medicine, Tanta University | ||||
| Abstract | ||||
| Aim: This study addressed a modified microcoeliotomy approach, through the subxiphoid minimal stress triangle, for cholecystectomy in gallstone disease. Methods: From February 2001 to 2004, at Tanta University Hospital, 50 patients with chronic calcular cholecystitis were prospectively randomized into two equal groups: Group I: 25 patients for whom the modified microcoeliotomy cholecystectomy technique had been done. Group II: 25 patients for whom the laparoscopic approach had been done. Their ages ranged from 22 to 65 years (mean ± SD = 40 ± 11.7) with 38 females and 12 males (3.17: 1). The whole follow-up period ranged from 3-24 months with a mean of 14 months. Results: In group I and II respectively, the operative time was 75 ±10.9 and 45 ±4.6 minutes, intraoperative bleeding occurred in 0% and 4%, hospital stay was 2.13 ±0.3 and 2.17 ±0.37 days, postoperative pain score was 4 ±0.87 and 5 ±1.12, vomiting occurred in 41.7% and 62.5% of patients, off-work time was 6.3 ±1.08 and 6.6 ±1.98 days and no early or late postoperative jaundice.. Conclusion: Subxiphoid minimal stress triangle modified microcoeliotomy cholecystectomy technique is a viable, safe, feasible and cheaper alternative to the laparoscopic cholecystectomy. | ||||
| Keywords | ||||
| microcoeliotomy; cholecystectomy; laparoscopy | ||||
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