Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study

Abstract

Background: Laparoscopic  cholecystectomy has been accepted as a gold standard for the surgical treatment of gallbladder diseases. In comparison with open surgery, the minimally invasive procedures are considered as a superior method. Using the port smaller than ports in standard laparoscopic  cholecystectomy are used by some surgeons.

Objective:The outcome of miniport laparoscopic cholecystectomy and standard laparoscopic cholecystectomy and their intraoperative complications were examined and evaluated in the current study.

Patients and Methods: In this randomized-controlled trial, the same number (65) of patients ,matched for gender underwent miniport laparoscopic cholecystectomy and standard laparoscopic  cholecystectomy in a private hospital in Iraq from March 2016 to October 2017 following taking ethical clearance from the local department.

Results: The mean age of the patients in miniport and standard arms were 44.82 and 42.85 years, respectively. The study showed that the patients underwent standard laparoscopic cholecystectomy had a significantly shorter operation duration and a substantially higher pain score after 2, 6, and 12 hours of the surgery. The patients in standard group had a lower cosmetic score (P<0.001). The miniport laparoscopic cholecystectomy  was completed in more than 80% of the patients. Only one patient converted to open surgery and 11 to standard laparoscopic cholecystectomy. One patient in standard group was converted to open operation only. No significant change was seen in intraoperative complications between two study groups (P=0.907) and the complications were not serious. 

Conclusion: The miniport technique was non-inferior to standard laparoscopic cholecystectomy while was superior for cosmesis and pain severity .