Minilaparoscopic cholecystectomy a one year record.

Area of Science:

• Minimally Invasive Surgery
• Gastrointestinal Surgery
• Surgical Innovation

Background:

• Gallstone disease and gallbladder polyps are common conditions requiring surgical intervention.
• Conventional Laparoscopic Cholecystectomy is a standard treatment.
• Mini-laparoscopic Cholecystectomy (MLC) presents a less invasive alternative.

Purpose of the Study:

• To evaluate the feasibility and safety of Mini-laparoscopic Cholecystectomy (MLC).
• To compare MLC with standard 5mm Laparoscopic Cholecystectomy (LC).
• To assess outcomes including operative time, hospital stay, pain, complications, and aesthetics.

Main Methods:

• A comparative study involving 12 patients undergoing 5mm LC and 102 patients undergoing MLC over one year.
• Analysis of exclusion criteria, technical difficulties, operative time, hospital stay, post-surgery pain, complications, and aesthetic outcomes.
• Documentation of any conversions from MLC to LC.

Main Results:

• MLC operative time was slightly longer (3 minutes) but resulted in shorter hospital stays.
• Patients undergoing MLC reported less post-surgery pain and required less analgesic therapy.
• Aesthetic results were superior with MLC due to smaller scar length; complications were method-independent.
• Conversions from MLC to LC occurred in only two cases.

Conclusions:

• Mini-laparoscopic Cholecystectomy (MLC) achieves comparable therapeutic and clinical results to conventional Laparoscopic Cholecystectomy (LC).
• MLC offers significant advantages in reduced post-surgery pain and faster recovery times.
• Despite some technical challenges, MLC is a safe and recommended procedure for experienced surgeons.