Miniports versus standard ports for laparoscopic cholecystectomy

Abstract

Miniport laparoscopic cholecystectomy can be completed successfully in more than 80% of patients. There appears to be no advantage of miniport laparoscopic cholecystectomy in terms of decreasing mortality, morbidity, hospital stay, return to activity, return to work, or improving cosmesis. On the other hand, there is a modest increase in operating time after miniport laparoscopic cholecystectomy compared with standard port laparoscopic cholecystectomy and the safety of miniport laparoscopic cholecystectomy is yet to be established. Miniport laparoscopic cholecystectomy cannot be recommended routinely outside well-designed randomised clinical trials. Further trials of low risks of bias and low risks of random errors are necessary.

Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study

“…The study was measured the pain score following 2, 6, and 12 hours of surgery and found a substantial lower pain score in the patients underwent miniport LC. The investigators reported the controversial findings on the pain score following miniport LC, for instance [8,11], Novitsky et al [19] did not find a substantial reduction in pain score contrast with Sarli et al [15], [32,33]. Reduction in pain score in the present study is logic as these patients received less added analgesics postoperatively in this study.…”

“…It is necessary to mention that postoperative hernias occur more significantly following laparoscopic cholecystectomy compared to open cholecystectomy [34]. The patients underwent both techniques for gallbladder diseases were discharged within one day of hospital stay, only two patients converted to open surgery from both arms of the study were discharged within two days, therefore the author can say that there is no statistically significant difference in hospital stay and confirmed by a Cochrane review performed by Gurusamy et al [11].…”

“…The systematic review did not find a substantial difference in the serious adverse events between two surgical techniques, including conversion to open operation. The overall conversion to open surgery in patents underwent miniport laparoscopic cholecystectomy was 8/351 with adjusted proportion 2.3% versus 6/319 with the adjusted proportion of 1.9% among patients treated with standard LC [11].…”

“…The cosmetic score was measured following one week of the surgery and the author unable to justify for longer than this time. However, the Cochrane review concluded that there is no a significant difference in the cosmesis score following six months between two groups [11].…”

Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study

“…The study was measured the pain score following 2, 6, and 12 hours of surgery and found a substantial lower pain score in the patients underwent miniport LC. The investigators reported the controversial findings on the pain score following miniport LC, for instance [8,11], Novitsky et al [19] did not find a substantial reduction in pain score contrast with Sarli et al [15], [32,33]. Reduction in pain score in the present study is logic as these patients received less added analgesics postoperatively in this study.…”

“…It is necessary to mention that postoperative hernias occur more significantly following laparoscopic cholecystectomy compared to open cholecystectomy [34]. The patients underwent both techniques for gallbladder diseases were discharged within one day of hospital stay, only two patients converted to open surgery from both arms of the study were discharged within two days, therefore the author can say that there is no statistically significant difference in hospital stay and confirmed by a Cochrane review performed by Gurusamy et al [11].…”

“…The systematic review did not find a substantial difference in the serious adverse events between two surgical techniques, including conversion to open operation. The overall conversion to open surgery in patents underwent miniport laparoscopic cholecystectomy was 8/351 with adjusted proportion 2.3% versus 6/319 with the adjusted proportion of 1.9% among patients treated with standard LC [11].…”

“…The cosmetic score was measured following one week of the surgery and the author unable to justify for longer than this time. However, the Cochrane review concluded that there is no a significant difference in the cosmesis score following six months between two groups [11].…”

First in‐human experience with a novel robotic platform and Magnetic Surgery System

“…After pre‐operative teaching, preparation of the equipment and set‐up was perceived to be simple and straight‐forward. The mean time from start to introduction of Magnetic Gasper Device (MGD) was 10 minutes, 7–24 and the mean MGD position and release time was 1 (1–2 min). The mean MGD first coupled time was 9 (1–65 min), and the mean MGD removed time was 39 (21–57 min).…”

Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study

“…The study was measured the pain score following 2, 6, and 12 hours of surgery and found a substantial lower pain score in the patients underwent miniport LC. The investigators reported the controversial findings on the pain score following miniport LC, for instance [8,11], Novitsky et al [19] did not find a substantial reduction in pain score contrast with Sarli et al [15], [32,33]. Reduction in pain score in the present study is logic as these patients received less added analgesics postoperatively in this study.…”

“…It is necessary to mention that postoperative hernias occur more significantly following laparoscopic cholecystectomy compared to open cholecystectomy [34]. The patients underwent both techniques for gallbladder diseases were discharged within one day of hospital stay, only two patients converted to open surgery from both arms of the study were discharged within two days, therefore the author can say that there is no statistically significant difference in hospital stay and confirmed by a Cochrane review performed by Gurusamy et al [11].…”

“…The systematic review did not find a substantial difference in the serious adverse events between two surgical techniques, including conversion to open operation. The overall conversion to open surgery in patents underwent miniport laparoscopic cholecystectomy was 8/351 with adjusted proportion 2.3% versus 6/319 with the adjusted proportion of 1.9% among patients treated with standard LC [11].…”

“…The cosmetic score was measured following one week of the surgery and the author unable to justify for longer than this time. However, the Cochrane review concluded that there is no a significant difference in the cosmesis score following six months between two groups [11].…”

First in‐human experience with a novel robotic platform and Magnetic Surgery System

“…After pre‐operative teaching, preparation of the equipment and set‐up was perceived to be simple and straight‐forward. The mean time from start to introduction of Magnetic Gasper Device (MGD) was 10 minutes, 7–24 and the mean MGD position and release time was 1 (1–2 min). The mean MGD first coupled time was 9 (1–65 min), and the mean MGD removed time was 39 (21–57 min).…”

Mini-Laparoscopic Cholecystectomy Versus Standard Laparoscopic Cholecystectomy: A Comparative study

“…The study was measured the pain score following 2, 6, and 12 hours of surgery and found a substantial lower pain score in the patients underwent miniport LC. The investigators reported the controversial findings on the pain score following miniport LC, for instance [8,11], Novitsky et al [19] did not find a substantial reduction in pain score contrast with Sarli et al [15], [32,33]. Reduction in pain score in the present study is logic as these patients received less added analgesics postoperatively in this study.…”

“…It is necessary to mention that postoperative hernias occur more significantly following laparoscopic cholecystectomy compared to open cholecystectomy [34]. The patients underwent both techniques for gallbladder diseases were discharged within one day of hospital stay, only two patients converted to open surgery from both arms of the study were discharged within two days, therefore the author can say that there is no statistically significant difference in hospital stay and confirmed by a Cochrane review performed by Gurusamy et al [11].…”

“…The systematic review did not find a substantial difference in the serious adverse events between two surgical techniques, including conversion to open operation. The overall conversion to open surgery in patents underwent miniport laparoscopic cholecystectomy was 8/351 with adjusted proportion 2.3% versus 6/319 with the adjusted proportion of 1.9% among patients treated with standard LC [11].…”

“…The cosmetic score was measured following one week of the surgery and the author unable to justify for longer than this time. However, the Cochrane review concluded that there is no a significant difference in the cosmesis score following six months between two groups [11].…”

First in‐human experience with a novel robotic platform and Magnetic Surgery System

“…After pre‐operative teaching, preparation of the equipment and set‐up was perceived to be simple and straight‐forward. The mean time from start to introduction of Magnetic Gasper Device (MGD) was 10 minutes, 7–24 and the mean MGD position and release time was 1 (1–2 min). The mean MGD first coupled time was 9 (1–65 min), and the mean MGD removed time was 39 (21–57 min).…”