Minilaparotomy cholecystectomy versus laparoscopic cholecystectomy

Abstract

The MC procedure seems to be a faster technique than the LC approach for noncomplicated gallstone disease, with no difference in recovery times. The MC procedure also seems to be suitable for the obese patient.

Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

“…The cholecystectomy itself is no more difficult in obese patients, and a number of authors have suggested that the laparoscopic approach is better suited to patients with high BMIs than is the open approach. 7,15,17,25 The main advantages to performing LC as a day case, and therefore the driving force behind expansion of day case services, are improved patient satisfaction and improved recovery and reductions in the risk of hospital acquired infections and thromboembolic complications, as well as a reduction in the costs associated with hospital inpatient stay and the demand for inpatient beds. 12,13,28 The total cost estimate obtained from the finance department in the trust is £1986 for a day case LC, which increases to £3006 in the event of an overnight stay.…”

“…8,[11][12][13] Previous studies have shown similar rates of postoperative complications in obese and nonobese groups. 7,[14][15][16][17][18][19][20][21] Indeed, the only consistent difference between the groups has been increased operating time.…”

Laparoscopic cholecystectomy versus mini-laparotomy cholecystectomy: a meta-analysis of randomised control trials

“…A recent study from a rural surgical unit has even assessed the feasibility and usefulness of MoC as a day case procedure, with positive results [5]. There have been several randomized control trials comparing LC versus MoC [6][7][8][9][10][11][12][13][14], however, currently these data have not been pooled for evaluation of overall outcomes.…”

Gallbladder Surgery, Choice of Technique: An Overview

“…Both small-incision cholecystectomy (6,7,14,17,(50)(51)(52) and laparoscopic cholecystectomy (50,(52)(53)(54)(55)(56) are compatible with ambulatory surgery. A Cochrane review has considered laparoscopic day-case surgery safe and effective for selected patients with symptomatic cholelithiasis (57).…”

“…Open cholecystectomy is associated with a longer hospital stay than the two minimallyinvasive techniques (58). One randomised controlled trial concluded that small-incision cholecystectomy was also suitable for obese patients (17). Patient opinion of the cosmetic outcome of surgery did not differ significantly between small-incision and laparoscopic cholecystectomy one year after surgery (60).…”