Premium
MINI‐LAP CHOLECYSTECTOMY: A VIABLE ALTERNATIVE TO LAPAROSCOPIC CHOLECYSTECTOMY FOR THE THIRD WORLD?
Author(s) -
Sharma Atul K.,
Rangan Harihar K.,
Choubey Rajender P.
Publication year - 1998
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1998.tb04674.x
Subject(s) - medicine , laparoscopic cholecystectomy , cholecystectomy , general surgery , surgery
Background : Laparoscopic cholecystectomy (LC) requires expensive equipment and special training. Mini–lap cholecystectomy (MLC) has no start–up costs but no large series from single centre has been reported as the procedure is considered hazardous because of inadequate exposure of the surgical field. Methods : We retrospectively reviewed the outcome of 737 cholecystectomies performed through 3‐5‐cm transverse subcostal incision and compared the results to published series of laparoscopic cholecystectomy. Results : The operating time (61.6 min; range 35–130), conversion rate (4%), rate of postoperative complications (3.6%), bile duct injuries (0.3%), number of analgesic doses required (3.4; range 3–8), duration of postoperative hospital stay (1.4; range 1–15 days), and the time off work (13.3 days; range 8–61) compare well with the reported results of laparoscopic and MLC. Ninety–three per cent of the patients were followed up for median period of 28.4 months and none developed biliary stricture. Conclusions : Mini–lap cholecystectomy is considered safe, viable alternative to LC in the Third World.