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KMID : 0978820070100020079
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2007 Volume.10 No. 2 p.79 ~ p.82
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Clinical Application of 2 mm Trocar Mini-laparoscopic Cholecystectomy
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Kwon Taek-Su
Lee Sang-Mok
Park Sun-Jin
Joo Sun-Hyung
Hong Sung-Wha
Oh Soo-Myung
Park Chul-Woon
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Abstract
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Purpose: The use of mini-laparoscopic cholecystectomy (mini-LC) has been reported to cause less postoperative pain and a better cosmetic effect than the use of conventional laparoscopic cholecystectomy (LC). However, it has not been a popular procedure because of instrument deficiencies and visual limitations. We report our experience of the clinical application of 2 mm mini-LC.
Methods: We compared three groups of patients that underwent LC. Two groups of patients underwent LC using 2 mm trocars-a consecutive group and a selective group. A third group of consecutive patients (conventional group) underwent LC using 5 mm trocars. The consecutive group consisted of 54 cases, and the selective group consisted of 117 cases that were selected by a surgeon based on patient condition. The conventional group consisted of 165 cases.
Results: The sex ratio of the consecutive group, selective group, and conventional group of patients was 1：1.16, 1：2.77 and 1：1.54 males：females, respectively. The mean age of patients in the consecutive group, selective group, and conventional group was 41.5, 42 and 56.1 years, respectively. The mean surgical time of patients in the consecutive group, selective group, and conventional group was 74.7, 65.8 and 79.6 minutes, respectively, and the mean hospital stay was 2.7, 1.7 and 3.2 days, respectively. Complications occurred in 3, 10 and 5 cases for patients in the consecutive group, selective group, and conventional group, respectively. The mean surgical time and hospital stay were significant for the selective group of patients.
Conclusion: Although 2 mm mini-LC was difficult to perform due to instrument limitations and a requirement of experience, the procedure resulted in a shorter surgical time and postoperative hospital stay. There was no difference in the rate of complications as compared with the use of conventional LC if an experienced surgeon performed the procedure.
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KEYWORD
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Laparoscopic cholecystectomy, Mini-laparosopic cholecystectomy
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