Salim Khattak, Arshad Ali.
Minilaparotomy Cholecystectomy - a review of 152 cases.
Biomedica Jan ;20(1):28-31.

This study was carried out in DHQ Teaching Hospital, DI Khan from January, 1999 to December, 2001. One hundred and fifty two patients with cholelithiasis were enrolled for the study. All the patients underwent minilap cholecystectomy and the results were analysed for mean operative time, hospital stay, post operative pain, complications and patient`s acceptance on 1st and 2nd outdoors visits. Comparison was made with the reported results of laparoscopic cholecystectomy. The objective of this study was to analyse the results of cholecystectomy through a small muscle-splitting incision regarding complications rate, operative convenience and patient`s acceptance of results. A reference has also been made to the literature about laparoscopic cholecystectomy to determine the place of minilap cholecystectomy in the present era. Mean operative time was 45 minutes (35 - 95 min), mean hospital stay was 4.5 days (2-11 days) with overall complication rate of 15%. Most of the patients were satisfied with the results of operation in terms of pain, participation in physical and social activities and postoperative scar. The procedure is affordable in our setup. As a conclusion mini lap cholecystectomy is the best alternate option to laparoscopic cholecystectomy in our set up because of technical and economic reasons. Compared to standard cholecystectomy it has great edge due to overall lower complications rate.

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