Micro- and modern minilaparotomy cholecystectomy.
The issue minilaparotomy cholecystectomy has not been clearly defined. For the purpose of discussion, microlaparotomy cholecystectomy (MLC) is less than 4 cm coeliotomic incision, modern minilaparotomy cholecystectomy (MMLC) from 4.1 to 6 cm and the conventional minilaparotomy cholecystectomy (CMLC) from 6.1 to 8 or 10 cm long abdominal incisions. The object of our paper is a presentation of our experiences during 607 MLC and MMLC developed as alternatives to laparoscopic cholecystectomy (LC) as well as conventional cholecystectomy (CC). There were 435 women and 172 men. The youngest patient was 15 years old, and the oldest 87 years old. (Death rate: 0.16, early reoperation: 0.49%, conversion rate: 0.49.) Only 156 of the 607 patients were designated as simple cases. The most complicated patients were encountered in the obstructive cholecystitis group. The 9 significant complications of the 11 encountered during 607 MLC and MMLC belonged to the delayed group. MLC and MMLC did not require sophisticated expensive technology or specialized skill, and therefore it could be available in any general hospital. The MLC and MMLC are designated as safe, less expensive alternatives to LC as well as CC.
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Moritz Kaposi Medical Center Kaposvár, Hungary.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000191:economics / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications