Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?
Ismail, A., Merhom, I., Omar, W., Abdel Hamid,, M., ElAzazi, M., Abdelrahman, M., Esawi, A., Abd-erRazik, M. (2021). Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?. EKB Journal Management System, 14(1), 25-31. doi: 10.21608/asjs.2021.212868
Alaa Ismail; Ihab K Merhom; Wael Omar; Mohamed Abdel Sattar Abdel Hamid,; Mohamed ElAzazi; Mostafa Abdelrahman; Ahmed Esawi; Mohammad Ahmad Abd-erRazik. "Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?". EKB Journal Management System, 14, 1, 2021, 25-31. doi: 10.21608/asjs.2021.212868
Ismail, A., Merhom, I., Omar, W., Abdel Hamid,, M., ElAzazi, M., Abdelrahman, M., Esawi, A., Abd-erRazik, M. (2021). 'Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?', EKB Journal Management System, 14(1), pp. 25-31. doi: 10.21608/asjs.2021.212868
Ismail, A., Merhom, I., Omar, W., Abdel Hamid,, M., ElAzazi, M., Abdelrahman, M., Esawi, A., Abd-erRazik, M. Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?. EKB Journal Management System, 2021; 14(1): 25-31. doi: 10.21608/asjs.2021.212868

Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?

Ain Shams Journal of Surgery
Article 4, Volume 14, Issue 1, July 2021, Page 25-31  XML PDF (274.35 K)
Document Type: Original Article
DOI: 10.21608/asjs.2021.212868
View on SCiNiTO View on SCiNiTO
Authors
Alaa Ismailorcid 1; Ihab K Merhom2; Wael Omar3; Mohamed Abdel Sattar Abdel Hamid,1; Mohamed ElAzazi1; Mostafa Abdelrahman1; Ahmed Esawi4; Mohammad Ahmad Abd-erRazikorcid 1
1Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt
2Department of Surgery, Faculty of Medicine, Misr University for Science and Technology, Egypt
3Department of Surgery, Faculty of Medicine, Helwan University, Egypt
4Nasser Institute for Research and Treatment, Egypt
Abstract
Objective: To evaluate the mini-laparotomy cholecystectomy (MC) and to compare it with the current gold standard
laparoscopic cholecystectomy (LC).
Patients and methods: In this prospective study, 1854 consecutive patients with ultrasound proven symptomatic
cholelithiasis, were recruited to study two different surgical techniques for cholecystectomy; the MC through a 5-7
cm muscle cutting incision (923 patients) and the 4 ports Laparoscopic technique (931 patients).
Results: The groups were well matched for age and sex and presenting symptoms. The mean durations of surgery
in both groups were similar. There was no significant difference in the conversion rates of both procedures. While
there was a significant difference between the 2 groups regarding the time of return to normal activity, it was
13.9±7 days for MC and 7.6±6 days for LC (p=0.041).
Conclusion: There is no superiority of one technique over the other. The MC is a safe procedure in experienced
hands, applicable and effective therapeutic option for gallstone disease with comparable outcomes to the
laparoscopic approach.
Keywords
Mini-cholecystectomy; laparoscopic cholecystectomy; gallbladder
Statistics
Article View: 154
PDF Download: 144