In this study, the results of 50 patients underwent cholecystectomy by
new technique including micro single, incision (about 2cm length) assisted
by laparoscopic instruments through'this single small incision (Micro Laparotomy
LaparoscopicdBy assisted cholecystectomy) (MLLAC).
These patients included cases presented as symptomatic chronic calcular
cholecystitis 40 patients (80%) of patients, and symptomatic chronic
non clacular cholecystitis (10%) of patients.
The mean operative time was within moderate time (within normal
consuming time of laparoscopic cholecystectomy only or open only.
This procedure was completed in 45 pat (90%) of patients, while in 5
pat (10%) of patients was converted to extended (wide) incision to help
completed cholecystectomy without proper complications of the previous
microlaparotomy.
The mean post operative stay was significantly shorter in MLIAC. No
mortality was reported in both groups, while complications rate was sim
ple as post operative fever and wound infection especially in converted
cases-1C% of patients due to missed subacule cholecystitis and friable
gall bladder wall and moderate adhesions which delected during sur
gery.
It is concluded that (MLLAC) is considered the best choice for treatment
ofchornic gall bladder disease, since It is safe effective technique even in
difficult cases because this procedure includes the benefits of L.C. and
mini-cholecystectomy (M.C) with its cosmetic single micromdsion, and
also its complications can be prevented by proper patients selection with
combined proper antibiotics. |
