Minilaparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy: An Endless Debate

Coletta, Diego; Mascioli, Fabio Massimo Frattale; Balla, Andrea; Guerra, Francesco; Ossola, Paolo

doi:10.1089/lap.2020.0416

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…As expected, considering the comparisons of the two approaches, no significant difference was observed in terms of overall morbidity, intraoperative bleeding, gallbladder perforation, and bile duct and bowel injury, also when individually analyzed [ 6–8 , 11 , 12 ].…”

Section: Discussionmentioning

confidence: 53%

“…The most recent systematic review and meta-analysis was published in 2020 by Coletta et al [ 6 ] They analyzed fifteen studies and they concluded that both surgical approaches resulted substantially equivalent to perform CLC, with some advantages of conventional approach as for operative time and of minilaparoscopic on concerning postoperative pain. However, in literature there is a wide difference between the results of different studies.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, in this meta-analysis, only studies reporting surgical procedures performed with four trocars and in elective setting were included with the aim to obtain homogeneous data. [ 6 ]…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Minilaparoscopic over conventional laparoscopic cholecystectomy and appendectomy: is it worth it? A case series and review of literature

Perini

Giordano

Guagni

et al. 2022

Journal of Surgical Case Reports

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Minilaparoscopic cholecystectomy was proposed with the aim to improve the cosmesis and reduce the impact on the abdominal wall. Our aim was to analyze the knowledge currently available on this topic with a review of literature and with our experience to suggest patient-centered approach over the use of minilaparoscopic cholecystectomies and appendectomies. From January 2021 to October 2021, we performed 21 minilaparoscopic cholecystectomies and 12 minilaparoscopic appendectomies. Within the established 1-month and 3-month follow-up intervals, clinical examination and scar evaluation were assessed and a satisfaction questionnaire was completed by all the patients. No intraoperative or postoperative complications were recorded. Patients’ pain decreases significantly during hospital stay and 30 patients (90,1%) were discharged with VAS 0. The same happened with aesthetic score, that was 2,23 the postoperative-day-1, decrease to 1,87 1 week later and was 1,12 at 1- and 3-month follow-up.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Minilaparoscopic over conventional laparoscopic cholecystectomy and appendectomy: is it worth it? A case series and review of literature

Perini

Giordano

Guagni

et al. 2022

Journal of Surgical Case Reports

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“…In this sense laparoscopy approach could play a crucial role in the execution of a radical excision. 15,16 The PC rate was 10.9% (Fig. 1), being pulmonary infection the most common complication (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Ossola

Mascioli

Coletta

et al. 2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Surgery, with the aid of chemotherapy and radiotherapy, is the only curative chance for gastric cancer. Unfortunately, gastric cancer had an elevated recurrence rate, primarily locally. Mesogastrium excision (MGE) during D2 lymphadenectomy has the aim to remove all possible contaminated tissue around the stomach. Methods: PubMed, EMBASE, and the Web of Science (WOS) were systematically searched for MGE reports in gastric cancer up to March 2020. The outcome reported were the number of lymph nodes retrieved, operative time (OT), overall morbidity, intra-and postoperative complications, conversion rate, and length of hospital stay.Results: A total of six studies, including 518 patients, were considered eligible for this analysis. All the studies reported laparoscopic cases. The mean number of lymph nodes retrieved was 36.7 -10.1. Mean OT was 240.7 -10.1 minutes. One case of conversion is reported. Overall morbidity was 6%. Medium estimated blood loss was 50.2 -39.6 mL. Overall length of stay was 10.7 -0.7 days. Mean follow-up was 11 -1.4 months. Conclusions: Only few studies evaluated this item, and according to the available evidence, MGE is a feasible technique that could be performed, also laparoscopically, in all surgical resections for gastric cancer with curative intent. Further studies are essential to establish the clear indication of this invasive procedure.

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“…The traditional thoracoscopic operation requires three ports, which significantly reduces surgical trauma compared with thoracotomy. However, owing to the advances in the field of minimally-invasive surgery, fewer and smaller ports may further reduce postoperative pain 2 . In recent years, the concept of single operation hole and single-hole operation have been introduced in thoracoscopic surgery and applied in clinic 3 .…”

Section: Introductionmentioning

confidence: 99%

Magnetic anchor technique-assisted thoracoscopic lobectomy in beagles

Zhang

Shi

et al. 2022

Sci Rep

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In single-port thoracoscopic lobectomy, surgical instruments are likely to collide and interfere with each other. We used magnetic anchor technique to design an anchoring device suitable for thoracoscopic surgery, and verified the safety and feasibility of its use in animal experiments. Ten Beagles were used as models, and magnetic anchor technology was used to assist thoracoscopic lobectomy. During the operation, a self-designed magnetic anchored internal grasper was used in place of the traditional laparoscopic grasping forceps. The operation time, intraoperative blood loss, incidence of postoperative complications, and the effect of intraoperative use of the device were analyzed. All 10 beagles were successfully operated; the mean operation time was 19.7 ± 3.53 min (range 15–26 min), and the postoperative blood loss was < 10 mL. No surgical complications occurred. During the operation, the internal grasper was firmly clamped, the auxiliary operation field was well exposed, and the interference of the main operation hole instruments was effectively reduced. We provide preliminary experimental evidence of the safety and feasibility of magnetic anchor technique-assisted thoracoscopic lobectomy.

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Minilaparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy: An Endless Debate

Cited by 7 publications

References 28 publications

Minilaparoscopic over conventional laparoscopic cholecystectomy and appendectomy: is it worth it? A case series and review of literature

Minilaparoscopic over conventional laparoscopic cholecystectomy and appendectomy: is it worth it? A case series and review of literature

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Magnetic anchor technique-assisted thoracoscopic lobectomy in beagles

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