We have done conventional open cholecystectomy to the gall stone, acute or chronic cholecystitis, since Langenbuch succeded cholecystectomy in 1882.
But, we would find a lot of complications in it. To minimize complications, many surgeons have tried several kinds of methods.
One of them is cholecystectomy with minilaparotomy which was made to be popular by Jonathan R. Merrill in 1988.
The main features were small incision and to minimize nerve and vascular cutting; After the transverse skin incision was made by 5 cm in length, the rectus muscle was splitted. Cholecystectomy with minilaparotomy were performed in 23 cases of
gall
bladder diseases from march 1991 to August 1991 in the Department of surgery, wonkwang university. In our study, postoperative diagnosis in cholecystectomy with minilaparotomy were 7 cases in cholelithiasis, 8 cases in acute cholecystitis with
gall
stone, 6 cases in chronic cholecystitis with gall stone, 1 cases in chronic cholecystitis with gall stone and CBD stone, 1 cases in GB empyema.
The mean of operative duration was 68 minutes. The mean of hospital stay was 5.9 days. The rate of pain camplaint which was needed analgesics was 24 percent and the most common complaint was wound pain. The postopreative complication rate was
zero
percent except failure of cholecystectomy with minilapatomy in 2 cases.
The causes of failure of cholecystectomy with minilaparotomy were difficult anatomy in one case, CBD stone in one case. According to this result, we would like to recommand that cholecystectomy with minilaparotomy is good and recommendable method
to
gall bladder diseases in hospital without equipment for laparoscopic cholecystectomy.
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