Revista espanola de enfermedades digestivas · 2023
Efficacy of mini-laparoscopic cholecystectomy and laparoscopic cholecystectomy in acute cholecystitis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Romucho Aguilar Fernanda Belén, Zapata Ormeño Grecia Carol, Alzamora de Los Godos Urcia Luis Álex, Calderón Saldaña Jully Pahola, Ausejo Galarza Jhon Rodrigo
Аннотация
Laparoscopic cholecystectomy (LC) reduces hospital length of stay, generating lower costs, less postoperative pain and an esthetic incision, with the disadvantage of converting to an open cholecystectomy. According to Collet, it has a conversion rate to open cholecystectomy of 4.8%. And with only 3 holes would be enough without having another hole exposed, having only a 3.85 % conversion rate. According to the Bangladesh study, minilaparoscopic cholecystectomy (MCL) has a conversion rate of 0.39% being lower than LC, although of the 7200 people in their study, only 22 people had complications such as incisional umbilical hernia and wound infection. Both techniques properly managed are extremely useful, with some differences in scar size and conversion rate, but they´re similar in postoperative pain, length of stay, recovery, etc. The CML is preferably used in young people who prefer esthetics and good results.