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Cholecystectomy by minilaparotomy without muscle section: a short-stay procedure. 1992

E P Pélissier, and D Blum, and J M Meyer, and J F Girard
Department of Digestive Surgery, St. Vincent Clinic, Besançon, France.

The aim of this prospective study was to assess the results of cholecystectomy performed by an incision characterized by its small size and absence of muscle section, to minimize postoperative discomfort, and shorten hospital stay. Surgical access was via a transverse division of the linea alba extending 1.5-2 cm on the rectus sheath, on both sides, without section of muscle. One hundred and ninety-one patients were operated on. Only 1 (0.5%) peroperative complication (injury of cystic artery) and 4 (2%) benign postoperative complications occurred. The mean postoperative hospital stay was 4.4 +/- 1.7 days (range 2 to 12); for the 90 patients operated on in 1989-1990 it was 3.3 +/- 1.7 days (range 2 to 12). Long-term results were assessed in 113 patients. Only 1 (0.6%) complication occurred, namely migration of a retained common duct stone. Neither incisional hernias nor a need for reoperation occurred. The cosmetic results were assessed by the patients themselves as very good in 95 (84.1%) cases and good in 16 (14.2%) cases.

UI MeSH Term Description Entries
D007813 Laparotomy Incision into the side of the abdomen between the ribs and pelvis. Minilaparotomy,Laparotomies,Minilaparotomies
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002763 Cholecystectomy Surgical removal of the GALLBLADDER. Cholecystectomies
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup

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