Mini-lap cholecystectomy: modifications and innovations in technique

International Journal of Surgery
Mushtaq ChalkooMuhammad Idrees Bashir

Abstract

As with any technology-driven field, laparoscopic surgery has made tremendous progress in recent years. Since the performance of first laparoscopic cholecystectomy by Prof Dr Med Erich Mühe of Böblingen, Germany 1985, this procedure has overtaken open cholecystectomy as the treatment of choice in cholelithiasis. However due to the cost incurred thereof and surgical training needed, open cholecystectomy is still performed on a very large scale in most parts of the third world countries. We tried to modify the conventional cholecystectomy to a minimal access approach (with minimal required infrastructure) to suit majority of patients with cholelithiasis in lieu of cost and morbidity. To assess the outcome of modified mini-lap cholecystectomy and report our experience with our innovations and modifications of the technique. Between May 2006 and May 2008, two hundred patients with cholelithiasis aged between 15 and 56 years underwent mini-lap cholecystectomy in a prospective study in Government medical college Srinagar. Our surgical approach was carried out using a 3-5cm oblique incision located two finger breadths below the costal margin; fashioned more laterally with a muscle cutting or splitting technique. The outcome was assess...Continue Reading

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Citations

Aug 10, 2010·International Journal of Surgery·Ramanathan Saranga BharathiVasudevan Baskaran
Aug 22, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M T Oruc, M U Ugurlu

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