Abstract

Background:Minilaparoscopy has made strong inroad to the arena of laparoscopic surgery. Gustavo Carvalho has popularized the concept and has developed a line of instruments to make the work easy. We decided to analyse the two procedures, the conventional laparoscopic cholecystectomy and the mini clipless laparoscopic cholecystectomy with the regularly available instruments. This study is done with the aim to compare the advantages and disadvantages of conventional laparoscopic cholecystectomy and mini clipless laparoscopic cholecystectomy.
Methods: Between June 2020 and May 2021, 102 cases of laparoscopic cholecystectomy were performed either by conventional method (n=51) and mini clipless laparoscopic method (n=51)
Results: Mini clipless laparoscopic cholecystectomy had less post-operative pain (p < 0.05), less requirement of analgesia and was a cosmetically better procedure than conventional laparoscopic cholecystectomy. Minilaparoscopy however took longer time to perform than the conventional laparoscopy (p <0.05). There was no significant difference in the post-operative tolerance to oral diet, duration of hospital stay, intra-operative and post-operative complications and rate of conversion between both the procedures (p>0.05).
Conclusion: Mini-clipless laparoscopy is found to be a procedure comparable to conventional laparoscopic cholecystectomy and can be advocated for routine procedure of choice in place of the conventional laparoscopic cholecystectomy as the new gold standard method with remarkable cosmetic efficiency