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Gasless laparoscopic cholecystectomy is not more time-consuming
E Ortiz-Oshiro1, J Mayol, J C Aparicio Medrano
1Servicio de Cirugía General y del Aparato DigestivoI, Hospital Clínico San Carlos, C/ Prof. Martín Lagos s/n, 28040 Madrid, Spain. ortosh@hotmail.com
Surgical Endoscopy
|April 20, 2002
Summary
This study found no significant difference in surgical preparation or operating time between laparoscopic cholecystectomy using carbon dioxide pneumoperitoneum (CO2 PP) and abdominal wall retraction (AWR). Both methods are comparable for surgical efficiency.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy (LC) is a common procedure.
- Abdominal wall retraction (AWR) is proposed to be advantageous.
- Surgeons report increased preparation and operative time with AWR.
Purpose of the Study:
- To compare the time required for surgical preparation and operation.
- To evaluate carbon dioxide pneumoperitoneum (CO2 PP) versus AWR in LC.
Main Methods:
- Prospective randomized study.
- CO2 PP LC group (n=19) vs. AWR LC group (n=15).
- Measured time for surgical field creation (Phase 1) and operating time (Phase 2).
Main Results:
- Homogeneous groups.
- Phase 1: 35 min (CO2 PP) vs. 25 min (AWR) (p=0.24).
- Phase 2: 60 min for both groups (p=0.76).
Conclusions:
- No statistically significant difference in time for surgical field creation.
- No statistically significant difference in actual operating time between CO2 PP and AWR.