2008
DOI: 10.1590/s0102-86502008000600012
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Abstract: Purpose:To test the hypothesis that needlescopic cholecystectomies (NC) offer superior outcomes in comparison to common laparoscopic cholecystectomies (LC). Methods: Sixty consecutive patients with gallbladder disease undergoing either LC or NC were evaluated with respect to differences in operative time, frequency of per-operative incidents, post-operative pain, late postoperative symptoms, length of scars and level of postoperative satisfaction. Results: Mean operative time was similar in both groups. Most o… Show more

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Cited by 11 publications
(13 citation statements)
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“…Prospective randomized studies on pain intensity and need of analgesics show that minilaparoscopy and SPS require the same amount of analgetics and distinctly less than with conventional laparoscopy, as confirmed in our own series [7,5].…”
Section: Discussionsupporting
confidence: 76%
See 1 more Smart Citation
“…Prospective randomized studies on pain intensity and need of analgesics show that minilaparoscopy and SPS require the same amount of analgetics and distinctly less than with conventional laparoscopy, as confirmed in our own series [7,5].…”
Section: Discussionsupporting
confidence: 76%
“…In the following years, a number of studies appeared on the practicability, safety and advantages over laparoscopic cholecystectomy with normal-caliber instruments [3][4][5]. Because the thinner instruments are less stable, and the light and view quality with the 2 mm optic are poorer, minilaparoscopic instruments were mainly used with selected indications and more with elective than with acute cases.…”
Section: Introductionmentioning
confidence: 99%
“…Gagner and GarciaRuiz [1] reported that one reason for conversion was inability to grasp the reasons gallbladder due to the small jaws of the needlescopic graspers. For 3-mm needlescope procedures reported previously, the mean patient age, operation time, postoperative hospital stay, rates of conversion to conventional laparoscopic and open procedures, and morbidity rate were 50.8 years, 65.4 min, 1.6 days, 7.8 and 1.5%, and 5.7%, respectively [18,29,[32][33][34][35][36][37][38][39]. The corresponding figures for the use of 2-mm or 3-mm instruments plus 5-mm ones were 50.1 years, 61.5 min, 3.1 days, 6.6 and 0%, and 1.3%, respectively [37][38][39][40][41][42][43].…”
Section: Discussionmentioning
confidence: 84%
“…Number one is the use of robotic for ease of use and precision of surgery [15,16]. Number two is the use of fewer trocars and the use of miniaturize instruments to reduce invasion to a minimum [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] and, number three, the recently reported single port approach [37][38][39]. Number one is not reproducible in every hospital situations, because of the problem of costs/benefit, while the second one seems to be applicable and feasible almost everywhere.…”
Section: Discussionmentioning
confidence: 99%