The surgical removal of the gallbladder has been the gold standard for the treatment of symptomatic gallbladder disease. The mini-lap cholecystectomy, described as early as 1982, in an indication that surgeons are making an attempt to reduce
morbidity
of surgical wound. The authors have made a clinical analysis retrospectively on the patientes with gall stones treated by mini-lap cholecystectomy, laparoscopic cholecystectomy, and conventional cholecystectomy at Pusan National University
Hospital
for
the time period from Sep. 1992 to May 1994.
@ES The results obtained were summarized briefly as follows:
@EN 1) the total 198 patients were included. Among these, conventional cholecystectomy was performed in 82 patients (41.4%), laparoscopic cholecystectomy was performed in 63 patients (31.8%), mini-lap cholecystectomy was performed in 53
patients(27.8%).
2) the conversion rate for laparoscopic cholecystectomy was 11.1%, for mini-lap chole cystectomy was 9.4%.
3) The average length of hospitalization for conventional cholecystectomy was 7.4 days. Laparoscopic cholecystectomy was 2.1 days, mini-lap cholecystectomy was 3.8 days.
4) The mean operating time for conventional cholecystectomy was 71 minutes, laparoscopic cholecystectomy was 75 minutes, mini-lap cholecystectomy was 45 minutes.
5) Intraoperative diagnoses of minilaparotomy group were uncomplicated cholelithiasis 34cases(64.2%), acute cholecystitis 15ases(28.3%), gangrenous cholecystitis 1case(1.9%), GB empyema 3 cases(5.7%), in laparoscopic group. uncomplicated
cholelithiasis
56 cases(88.9%), acute cholecystitis 5 cases(7.9%), gangrenous chelevstitis 1cases(1.6%), B empyema 1cass(1.6%), and in conventional group uncomplicated cholelithiasis 34 cases(41.5%), acute cholecystitis 25cases(30.5%), gangrenous cholecystitis
11
cases(13.4%), GB empyema 8 cases(9.8%), and perforative cholecystitis 4 cases(4.9%).
Mini-lap cholecystectomy is suggested as an alternative to laparoscopic cholecystectomy a technique that tha many of the same benefits without the problems inherent in laparoscopic surgery.
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