title: [A video-aided minilaparocholecystectomy].
abstract: OBJECTIVE
  The main objective is to prospectively evaluate the therapeutic efficacy of minilaparocholecystectomy combined with videolaparoscopic view in cases of complicated gallstones where VLC was risky.
  
  
  METHODS
  We carried out minilaparotomic video-aided cholecystectomy on 110 patients (32 males and 78 females) with preoperative diagnosis of intraabdominal adhesions or biliary severe inflammation.
  
  
  RESULTS
  No significant intra or postoperative complications was reported and in all cases pain was never greater than that reported after VLC. In all these cases the anesthetists reported an easier intra-operative management of the vital parameters than with VLC procedures.
  
  
  CONCLUSIONS
  Minilaparocholecystectomy appears a type of alternative procedure able to combine mini-invasiveness with as low a number as possible of intra- and post-operative complications, in cases where VLC have risk. No significant postoperative pain was reported, and in any case pain was never greater than that reported after VLC. Recovery times were similar to those after VLC; patients were able to return to their normal social and working life within a mean 3 days. The procedure carried out by us is a low-cost one: it does not require disposable instruments From the esthetic viewpoint, video-aided minicholecystectomy minimal scars in our cases, wound ranged from 4 to 6 cm. in length.
  
  
  CONCLUSIONS
  In patients in whom VLC have risks, video-aided minilaparocholecystectomy represents an easy-to-perform and low-cost alternative. VMC can also be proposed as a procedure of choice in cases of complicated gallstones instead of the traditional open cholecystectomy technique.
authors.affiliation: Dipartimento di Scienze Chirurgiche, Università degli studi di Parma. marco.zannoni@unipr.it
authors.forename: Marco
authors.initials: M
authors.lastname: Zannoni
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Viani
authors.forename: Cecilia
authors.initials: C
authors.lastname: Caramatti
authors.forename: Paolo
authors.initials: P
authors.lastname: Del Rio
authors.forename: Andrea
authors.initials: A
authors.lastname: Ghirarduzzi
authors.forename: Mario
authors.initials: M
authors.lastname: Sianesi
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020535:Video-Assisted Surgery; D055815:Young Adult