Advantages of minimal incision laparoscopic XXXX .

@entity1 @entity2963 @entity9834 @entity302
BACKGROUND: Modifications to @entity9834 ( @entity9834 ) are aimed at decreasing abdominal wall trauma and improving cosmetic outcome. Although @entity302 ( @entity302 ) provides excellent cosmetic results, the procedure is technically challenging and expensive compared to the conventional laparoscopic approach. OBJECTIVES: To describe a novel, hybrid technique combining @entity302 and conventional laparoscopy using minimal abdominal wall incisions. METHODS: Fifty @entity1 diagnosed with symptomatic @entity2963 were operated using two reusable 5 mm trocars inserted through a single 15 mm umbilical incision and a single 2-3 mm epigastric port. This technique was clubbed "minimal incision laparoscopic @entity9834 " (MILC). RESULTS: MILC was completed in 49 @entity1 (98%). In five @entity1 an additional 3 mm trocar was used and in 2 @entity1 the epigastric trocar was switched to a 5 mmtrocar. The procedure was converted to @entity9834 in one @entity1 . Mean operative time was 29 minutes (range 18-60) and the average postoperative hospital stay was 22 hours (range 6-50). There were no postoperative complications and the cosmetic results were rated excellent by the @entity1 . CONCLUSIONS: MILC is an intuitive, easy-to-learn and reproducible technique and requires small changes from @entity9834 . As such, MILC may be an attractive alternative, avoiding the cost and complexity drawbacks associated with @entity302 .
