title: [Ambulatory laparoscopic cholecystectomy by minilaparoscopy versus traditional multiport ambulatory laparoscopic cholecystectomy. Prospective randomized trial].
abstract: OBJECTIVE
  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, 3mm 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 analyzed in terms of ambulatorization rate, pain, analgesic requirements, postoperative recovery, technical difficulty, hemorrhage intensity, overnight stay, readmission rate and total or partial conversion.
  
  
  RESULTS
  Both procedures were similar in surgery time, technical score and hemorrhage 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.
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España. Electronic address: planells_mvi@gva.es.
authors.forename: Manuel
authors.initials: M
authors.lastname: Planells Roig
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España.
authors.forename: Consuelo
authors.initials: C
authors.lastname: Arnal Bertomeu
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Garcia Espinosa
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España.
authors.forename: Maria
authors.initials: M
authors.lastname: Cervera Delgado
authors.affiliation: Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Carrau Giner
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005705:Gallbladder Diseases; D006801:Humans; D010149:Postoperative Pain / Q000188:drug therapy; D011446:Prospective Studies
chemical_list: D000700:Analgesics
keywords: Ambulatory minilaparoscopic cholecystectomy versus traditional; Ambulatory multiport laparoscopic cholecystectomy; Colecistectomía laparoscópica ambulatoria; Colecistectomía por minilaparoscopia ambulatoria; Dolor percibido y consumo de analgésicos en colecistectomía por minilaparoscopia; Pain and analgesic requirements in minilaparoscopic cholecystectomy