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Is minisite cholecystectomy less traumatic? Prospective randomized study comparing minisite and conventional laparoscopic cholecystectomies

The main objectives of minisite cholecystectomy (MC) are to have smaller incisions, better cosmetic results, less trauma, and a lower morbidity rate. This prospective randomized study compares MC with conventional laparoscopic cholecystectomy (CLC) in terms of surgical trauma and cosmetic results in... Full description

Journal Title: World journal of surgery 2002, Vol.26 (12), p.1437-1440
Main Author: ALPONAT, Ahmet
Other Authors: CUBUKCU, Anil , GÖNÜLLÜ, Nuri , CANTÜRK, Zafer , ÖZBAY, Oguz
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: New York, NY: Springer
ID: ISSN: 0364-2313
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recordid: cdi_proquest_miscellaneous_72751633
title: Is minisite cholecystectomy less traumatic? Prospective randomized study comparing minisite and conventional laparoscopic cholecystectomies
format: Article
creator:
  • ALPONAT, Ahmet
  • CUBUKCU, Anil
  • GÖNÜLLÜ, Nuri
  • CANTÜRK, Zafer
  • ÖZBAY, Oguz
subjects:
  • Adult
  • Analgesics
  • Biological and medical sciences
  • Cholecystectomy - methods
  • Cholecystectomy, Laparoscopic - adverse effects
  • Cholecystectomy, Laparoscopic - methods
  • Cholelithiasis - diagnosis
  • Cholelithiasis - surgery
  • Esthetics
  • Female
  • Follow-Up Studies
  • Humans
  • Laparoscopic surgery
  • Laparoscopy
  • Length of Stay
  • Liver, biliary tract, pancreas, portal circulation, spleen
  • Male
  • Medical sciences
  • Microsurgery - adverse effects
  • Microsurgery - methods
  • Middle Aged
  • Pain, Postoperative - diagnosis
  • Pain, Postoperative - epidemiology
  • Postoperative Complications - epidemiology
  • Probability
  • Prospective Studies
  • Risk Assessment
  • Sensitivity and Specificity
  • Statistics, Nonparametric
  • Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
  • Surgery of the digestive system
  • Treatment Outcome
ispartof: World journal of surgery, 2002, Vol.26 (12), p.1437-1440
description: The main objectives of minisite cholecystectomy (MC) are to have smaller incisions, better cosmetic results, less trauma, and a lower morbidity rate. This prospective randomized study compares MC with conventional laparoscopic cholecystectomy (CLC) in terms of surgical trauma and cosmetic results in 44 patients. Conversion from MC to CLC was required in five patients. No conversion to open surgery was needed in the CLC group. The average operating time was slightly longer in the MC group, but the difference was not statistically significant (81 minutes versus 72 minutes, p = 0.22). The population characteristics, postoperative respiratory function measurements, pain scores, and analgesic requirements were similar in the two groups. The average score for scar tissue was significantly lower in the MC group (0.73 versus 1.93, p = 0.0045). Only the cosmetic results of MC were superior to CLC. This technique could be a feasible alternative procedure in patients seeking better cosmetic results. However, further studies with larger sample sizes are needed to evaluate the postoperative morbidity of MC.
language: eng
source:
identifier: ISSN: 0364-2313
fulltext: no_fulltext
issn:
  • 0364-2313
  • 1432-2323
url: Link


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titleIs minisite cholecystectomy less traumatic? Prospective randomized study comparing minisite and conventional laparoscopic cholecystectomies
creatorALPONAT, Ahmet ; CUBUKCU, Anil ; GÖNÜLLÜ, Nuri ; CANTÜRK, Zafer ; ÖZBAY, Oguz
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descriptionThe main objectives of minisite cholecystectomy (MC) are to have smaller incisions, better cosmetic results, less trauma, and a lower morbidity rate. This prospective randomized study compares MC with conventional laparoscopic cholecystectomy (CLC) in terms of surgical trauma and cosmetic results in 44 patients. Conversion from MC to CLC was required in five patients. No conversion to open surgery was needed in the CLC group. The average operating time was slightly longer in the MC group, but the difference was not statistically significant (81 minutes versus 72 minutes, p = 0.22). The population characteristics, postoperative respiratory function measurements, pain scores, and analgesic requirements were similar in the two groups. The average score for scar tissue was significantly lower in the MC group (0.73 versus 1.93, p = 0.0045). Only the cosmetic results of MC were superior to CLC. This technique could be a feasible alternative procedure in patients seeking better cosmetic results. However, further studies with larger sample sizes are needed to evaluate the postoperative morbidity of MC.
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languageeng
publisherNew York, NY: Springer
subjectAdult ; Analgesics ; Biological and medical sciences ; Cholecystectomy - methods ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - methods ; Cholelithiasis - diagnosis ; Cholelithiasis - surgery ; Esthetics ; Female ; Follow-Up Studies ; Humans ; Laparoscopic surgery ; Laparoscopy ; Length of Stay ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Microsurgery - adverse effects ; Microsurgery - methods ; Middle Aged ; Pain, Postoperative - diagnosis ; Pain, Postoperative - epidemiology ; Postoperative Complications - epidemiology ; Probability ; Prospective Studies ; Risk Assessment ; Sensitivity and Specificity ; Statistics, Nonparametric ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Treatment Outcome
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descriptionThe main objectives of minisite cholecystectomy (MC) are to have smaller incisions, better cosmetic results, less trauma, and a lower morbidity rate. This prospective randomized study compares MC with conventional laparoscopic cholecystectomy (CLC) in terms of surgical trauma and cosmetic results in 44 patients. Conversion from MC to CLC was required in five patients. No conversion to open surgery was needed in the CLC group. The average operating time was slightly longer in the MC group, but the difference was not statistically significant (81 minutes versus 72 minutes, p = 0.22). The population characteristics, postoperative respiratory function measurements, pain scores, and analgesic requirements were similar in the two groups. The average score for scar tissue was significantly lower in the MC group (0.73 versus 1.93, p = 0.0045). Only the cosmetic results of MC were superior to CLC. This technique could be a feasible alternative procedure in patients seeking better cosmetic results. However, further studies with larger sample sizes are needed to evaluate the postoperative morbidity of MC.
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4Cholecystectomy, Laparoscopic - adverse effects
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6Cholelithiasis - diagnosis
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23Postoperative Complications - epidemiology
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31Treatment Outcome
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titleIs minisite cholecystectomy less traumatic? Prospective randomized study comparing minisite and conventional laparoscopic cholecystectomies
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abstractThe main objectives of minisite cholecystectomy (MC) are to have smaller incisions, better cosmetic results, less trauma, and a lower morbidity rate. This prospective randomized study compares MC with conventional laparoscopic cholecystectomy (CLC) in terms of surgical trauma and cosmetic results in 44 patients. Conversion from MC to CLC was required in five patients. No conversion to open surgery was needed in the CLC group. The average operating time was slightly longer in the MC group, but the difference was not statistically significant (81 minutes versus 72 minutes, p = 0.22). The population characteristics, postoperative respiratory function measurements, pain scores, and analgesic requirements were similar in the two groups. The average score for scar tissue was significantly lower in the MC group (0.73 versus 1.93, p = 0.0045). Only the cosmetic results of MC were superior to CLC. This technique could be a feasible alternative procedure in patients seeking better cosmetic results. However, further studies with larger sample sizes are needed to evaluate the postoperative morbidity of MC.
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doi10.1007/s00268-002-6351-3