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212868

Is There a Place for the Mini-Cholecystectomy in the Laparoscopic Cholecystectomy Era?

Article

Last updated: 23 Jan 2023

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Abstract

Objective: To evaluate the mini-laparotomy cholecystectomy (MC) and to compare it with the current gold standard
laparoscopic cholecystectomy (LC).
Patients and methods: In this prospective study, 1854 consecutive patients with ultrasound proven symptomatic
cholelithiasis, were recruited to study two different surgical techniques for cholecystectomy; the MC through a 5-7
cm muscle cutting incision (923 patients) and the 4 ports Laparoscopic technique (931 patients).
Results: The groups were well matched for age and sex and presenting symptoms. The mean durations of surgery
in both groups were similar. There was no significant difference in the conversion rates of both procedures. While
there was a significant difference between the 2 groups regarding the time of return to normal activity, it was
13.9±7 days for MC and 7.6±6 days for LC (p=0.041).
Conclusion: There is no superiority of one technique over the other. The MC is a safe procedure in experienced
hands, applicable and effective therapeutic option for gallstone disease with comparable outcomes to the
laparoscopic approach.

DOI

10.21608/asjs.2021.212868

Keywords

Mini-cholecystectomy, Laparoscopic cholecystectomy, gallbladder

Authors

First Name

Alaa

Last Name

Ismail

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

Email

ahismail2002@yahoo.com

City

-

Orcid

0000-0001-8561-0809

First Name

Ihab

Last Name

Merhom

MiddleName

K

Affiliation

Department of Surgery, Faculty of Medicine, Misr University for Science and Technology, Egypt

Email

ihabg@doctors.org.uk

City

-

Orcid

-

First Name

Wael

Last Name

Omar

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Helwan University, Egypt

Email

dr.waelomar@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abdel Hamid,

MiddleName

Abdel Sattar

Affiliation

Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

ElAzazi

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

Email

-

City

-

Orcid

-

First Name

Mostafa

Last Name

Abdelrahman

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Esawi

MiddleName

-

Affiliation

Nasser Institute for Research and Treatment, Egypt

Email

dr.ahmed.elesawi@gmail.com

City

-

Orcid

-

First Name

Mohammad

Last Name

Abd-erRazik

MiddleName

Ahmad

Affiliation

Department of Surgery, Faculty of Medicine, Ain-Shams University, Egypt

Email

mohammad_ahmad@med.asu.edu.eg

City

-

Orcid

0000-0002-8498-9957

Volume

14

Article Issue

1

Related Issue

29932

Issue Date

2021-07-01

Receive Date

2022-01-05

Publish Date

2021-07-01

Page Start

25

Page End

31

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_212868.html

Detail API

https://asjs.journals.ekb.eg/service?article_code=212868

Order

4

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

-

Details

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Article

Created At

23 Jan 2023