Ambulatory Laparoscopic Cholecystectomy by Minilaparoscopy Versus Traditional Multiport Ambulatory Laparoscopic Cholecystectomy. Prospective Randomized Trial

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• 作者：Manuel Planells Roig ; ^{planells_mvi@gva.es" class="auth_mail" title="E-mail the corresponding author} ; Consuelo Arnal Bertomeu ; Rafael Garcia Espinosa ; Maria Cervera Delgado ; Miguel Carrau Giner
• 关键词：Ambulatory minilaparoscopic cholecystectomy versus traditional ; Ambulatory multiport laparoscopic cholecystectomy ; Pain and analgesic requirements in minilaparoscopic cholecystectomy
• 刊名：Cirugía Española (English Edition)
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：94
• 期：2
• 页码：86-92
• 全文大小：581 K

文摘

Difference analysis of ambulatorization rate, pain, analgesic requirements and daily activities recovery in patients undergoing laparoscopic cholecystectomy with standard multiport access (CLMP) versus a minilaparoscopic, 3 mm size, technique.

Methods

Prospective randomized trial of 40 consecutive patients undergoing laparoscopic cholecystectomy. Comparison criteria included predictive ultrasound factors of difficult cholecystectomy, previous history of complicated biliary disease and demographics. Results are analysed in terms of ambulatorization rate, pain, analgesic requirements, postoperative recovery, technical difficulty, haemorrhage intensity, overnight stay, readmission rate and total or partial conversion.

Results

Both procedures were similar in surgery time, technical score and haemorrhage score. MLC was associated with similar ambulatorization rate, 85%, and over-night stay 15%, with only 15% partial conversion rate. MLC showed less postoperative pain (P=.026), less analgesic consumption (P=.006) and similar DAR (P=.879).

Conclusions

MLC is similar to CLMP in terms of ambulatorization with less postoperative pain and analgesic requirements without differences in postoperative recovery.