title: [Mini-laparoscopic cholecystectomy as an innovative method in minimally invasive abdominal surgery].
abstract: BACKGROUND
  In our study, we applied a mini-laparosopic approach during laparoscopic cholecystectomy (LC) (using the minimum size of trocars with the simultaneous intention to reduce their number). The advantages and disadvantages of the mini-LC approach were compared with those of traditional LC.
  
  
  METHODS
  During mini-LC procedures, we used 3 ports (11 mm, 5 mm, 3.5 mm). Mini-LC was performed in 10 patients, and the results were compared with those of 10 cases of traditional LCs. The two groups were homogenous in terms of gender, age, BMI and ASA classification. Comparison criteria included operative time, the need to use an extra port, conversion rate, oral analgesic requirement, early/late complications and cosmetic results.
  
  
  RESULTS
  There were no significant differences in terms of operative time, blood loss, hospital stay and complications. Cumulative size of incisions was 19.5 mm with mini-LC- and 41 mm in the LC group, respectively, and the tissue injury was 124.2 mm(2) and 448.2 mm(2). Cosmetic results of mini-LC were highly improved by these values. Increased oral analgetic requirements were detected in LC group.
  
  
  CONCLUSIONS
  Mini-LC is a safe procedure with outstanding cosmetic results accompanied by less oral analgetic requirements. In selected patients, it can be recommended as an alternative method of traditional LC.
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy Béla u. 6.
authors.forename: László
authors.initials: L
authors.lastname: Andrási
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy Béla u. 6.
authors.forename: Szabolcs
authors.initials: S
authors.lastname: Ábrahám
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy Béla u. 6.
authors.forename: György
authors.initials: G
authors.lastname: Lázár
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006814:Hungary; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D013525:Surgical Instruments / Q000009:adverse effects
chemical_list: D000700:Analgesics
keywords: laparoscopic cholecystectomy; laparoscopos cholecystectomia; mini-laparoscopy; minilaparoscopia; postoperativ fájdalom; postoperative pain