OBJECTIVE To evaluate the primary and clinical outcomes in laparoscopic and small-incision cholecystectomy. DESIGN Blinded randomized single-center trial emphasizing methodologic quality and generalizability. SETTING General teaching hospital in the Netherlands. PATIENTS A total of 257 patients undergoing cholecystectomy for symptomatic cholecystolithiasis. INTERVENTIONS Laparoscopic ch...

BACKGROUND AND OBJECTIVES Our aim is to investigate the anxiety status of the patient before elective cholecystectomy and to analyze the relation between the level of anxiety for a given operation type (laparoscopic and open cholecystectomy) and the corresponding demographic and social data. METHODS A total of 333 patients undergoing cholecystectomy due to cholelithiasis were included in the ...

results mean operative time was shortest in group a (57.1 minutes) and longest in group b [63.4 (p = 0.131)]. mean hospital stay was shortest in group a (2.1 days) and longest in group c (5.7 days) (p = 0.003). hospital expenses were minimal in group a (p = 0.001). male sex, serum bilirubin level, white blood cell (wbc) count, duration of ercp/es procedure, contracted gall bladder and large cal...

The aim of this study is to show our experience with umbilical hernia herniorrhaphy and laparoscopic cholecystectomy, both in the same act. During last 10 years we operated 89 patients with cholecystitis and pre-existing umbilical hernia. In 61 of them we performed standard laparoscopic cholecystectomy and additional sutures of abdominal wall, and in 28 patients we performed in the same act lap...

BACKGROUND Spillage of gallstones within the subcutaneous tissue during laparoscopic cholecystecomy may lead to considerable morbidity. METHODS We describe an abdominal wall abscess formation in a 50-year-old female that developed 24 months after a laparoscopic cholecystectomy. RESULTS Spilled gallstones at the umbilical port site went undetected. Subsequently, an umbilical port-site absces...

OBJECTIVE To compare patient-satisfaction, scar-pain and cosmesis between laparoscopic and open-cholecystectomy. STUDY DESIGN Cross-sectional survey. PLACE AND DURATION OF STUDY Khyber Teaching Hospital, Peshawar, from August 2012 to May 2014. METHODOLOGY A total of 400 patients, who had undergone open or laparoscopic cholecystectomy in all units of the Surgical Department, were included....

Single-port laparoscopy attempts to further reduce the surgical impact of minimally invasive surgery when compared to conventional laparoscopy [1–4]. Single-port laparoscopy might in general result in enhanced cosmetic outcomes and potentially reduced pain when compared to the conventional multi-port technique [5–8]. While manual single-port laparoscopy comes with certain technical limitations ...