Di Bartolomeo Nicola, Mascioli Federico, Ciampaglia Franco
Ann Ital Chir. 2015;86:528-31.
Our study is to demonstrate the feasibility and the safety of the Minilaparoscopic Cholecystectomy.
During one year period 12 patients underwent 5mm Laparoscopic Cholecystectomy and 102 patientunderwent Mini-laparoscopic Cholecystectomy. In this study the exclusion criteria for surgery have been analyzed as well as the technical difficulties, the operation time, the duration of hospital stay, the post-surgery pain, the complications and the aesthetic results
The operation time was 3 minutes longer for Mini-laparoscopic Cholecystectomy, the hospital stay was shorter in Mini-laparoscopic group. Patients that underwent 5mm Laparoscopic Cholecystectomy required a longer analgesic therapy. Complications occurred during the study were not related to the method. The aesthetic results were better in Minilaparoscopic Cholecystectomy due to lower scars length. Only in two cases we converted the planned Mini-laparoscopic Cholecystectomy in 5mm Laparoscopic Cholecystectomy.
All the patients submitted to Mini-laparoscopic Cholecystectomy and 5mm Laparoscopic Cholecystectomy had the same therapeutic result. The Mini-laparoscopic Cholecystectomy gave advantages on post-surgery pain and recovery time.
In our experience the Mini-laparoscopic Cholecystectomy is a safe method that guarantees the same clinical results of conventional Laparoscopic Cholecystectomy. It shows some technical difficulties, but yet this surgery is to be recommended to expert surgeons.
Gallbladder Polyps, Gallstone Disease, Mini-laparoscopic Cholecistecomy.
我们的研究旨在证明迷你腹腔镜胆囊切除术的可行性和安全性。
在一年时间里，12例患者接受了5毫米腹腔镜胆囊切除术，102例患者接受了迷你腹腔镜胆囊切除术。本研究分析了手术的排除标准以及技术难度、手术时间、住院时间、术后疼痛、并发症和美观效果。
迷你腹腔镜胆囊切除术的手术时间长3分钟，迷你腹腔镜组的住院时间较短。接受5毫米腹腔镜胆囊切除术的患者需要更长时间的镇痛治疗。研究期间发生的并发症与手术方法无关。由于疤痕长度较短，迷你腹腔镜胆囊切除术的美观效果更好。仅在两例病例中，我们将计划中的迷你腹腔镜胆囊切除术改为5毫米腹腔镜胆囊切除术。
所有接受迷你腹腔镜胆囊切除术和5毫米腹腔镜胆囊切除术的患者都有相同的治疗效果。迷你腹腔镜胆囊切除术在术后疼痛和恢复时间方面具有优势。
根据我们的经验，迷你腹腔镜胆囊切除术是一种安全的方法，能保证与传统腹腔镜胆囊切除术相同的临床效果。它存在一些技术难点，但仍推荐给专业外科医生。
胆囊息肉、胆结石病、迷你腹腔镜胆囊切除术
