[Micro and mini-cholecystectomies in the 21st century].
BACKGROUND
Today the removal of the gallbladder is the safest, the most effective and widely recommended treatment for gallstone disease. Three essential methods are used for the removal of the gallbladder: standard open cholecystectomy, laparoscopic cholecystectomy and minicholecystectomy. Traditionally, the surgical community has resisted accepting minicholecystectomy.


OBJECTIVE
It is the Author's objective to illustrate the advantages and disadvantages of laparoscopic and microlaparotomy cholecystectomy.


METHODS
The 2400 unselected patients who were operated with micro- and minicholecystectomy by them and a review of the relevant data of laparoscopic and standard minicholecystectomies permit some inferences to be made about the validity of microlaparotomy cholecystectomy.


CONCLUSIONS
Main outcome measures regarding to mortality (0.12%), common bile duct injuries (0.08%), conversion an incision longer than 8 cm (0.29%) and syncronical choledocholithotomy (5.5%) as well as complete cholecystectomy (98.1%) indicate that micro- and minilaparotomy cholecystectomy with suitable technique and equipment are safe, less expensive choice either than the laparoscopic or the standard open cholecystectomy.
Rozsos
István
I
Kaposi Mór Megyei Kórház, Altalános Sebészeti, Er- és Mellkassebészeti Osztály, Kaposvár.
Ferenczy
József
J
Schmitz
Rainer
R
D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D003135:Common Bile Duct / Q000293:injuries; D042882:Gallstones / Q000601:surgery; D006801:Humans; D006814:Hungary; D012189:Retrospective Studies