Related Experiment Videos
Laparoscopic cholecystectomy versus mini-laparotomy cholecystectomy: a prospective, randomized, single-blind study
1Department of Surgery, County Hospital of Ryhov, SE-55185 Jönköping, Sweden. axel.ros@telia.com
Annals of Surgery
|December 1, 2001
Summary
Laparoscopic cholecystectomy (LC) resulted in longer operating times but smoother convalescence compared to minilaparotomy cholecystectomy (MC) for gallstone disease.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Gallstone disease management often involves cholecystectomy.
- Minimally invasive surgical techniques are increasingly adopted in general surgical practice.
Purpose of the Study:
- To compare outcomes between open small-incision surgery (minilaparotomy cholecystectomy, MC) and laparoscopic cholecystectomy (LC) for gallstone disease.
Main Methods:
- Randomized, single-blind, multicenter trial comparing LC and MC for elective and acute gallstone disease.
- Surgeons included trainees and consultants; MC was introduced after training.
- Nonrandomized cases were recorded to assess external validity.
Main Results:
- 1,705 cholecystectomies analyzed; 724 entered the trial (362 per group).
- LC had longer median operating times (100 min) vs. MC (85 min).
- LC showed shorter sick leave and return to normal activities; no difference in postoperative complications.
Conclusions:
- Laparoscopic cholecystectomy (LC) offers smoother convalescence than minilaparotomy cholecystectomy (MC).
- Further research is needed on surgical training, outcomes, and health economics for LC versus MC.