[Mini-laparoscopy vs. laparoscopy for the gallblader stone treatment. Prospective and comparative study]

Area of Science:

• Surgical procedures
• Gastrointestinal surgery

Background:

• Laparoscopic cholecystectomy (LC) is the standard for gallstone treatment.
• Adapted smaller incisions (ASI) present an alternative surgical approach.

Purpose of the Study:

• To compare the outcomes of LC versus ASI for gallstone removal.

Main Methods:

• A prospective, comparative study of 3822 cholecystectomies performed between 1994-2011.
• 1735 LC procedures and 2087 ASI procedures were analyzed.
• Groups were comparable in age, gender, prior surgeries, and preoperative diagnostics.

Main Results:

• No mortality was observed in either group.
• Conversion to open surgery occurred in 6.62% of LC cases.
• Postoperative complications were 2.40% for LC and 6.37% for ASI. Bilirrhage incidence was higher in LC (0.55%) than ASI (0.23%).

Conclusions:

• LC is the gold standard in expert hands for gallstone treatment.
• ASI is a safe, economical alternative, especially in resource-restricted environments.
• ASI demonstrates reasonable complexity and a lower rate of surgical lesions.