Early minilaparoscopic cholecystectomy in XXXX with acute @entity2679 .

@entity1 @entity7617 @entity6882 @entity2679 @entity158 @entity2877
BACKGROUND: Recently, techniques using fine-caliber instruments (2 or 3 mm in diameter) for laparoscopic cholecystectomy, called minilaparoscopic cholecystectomy (MLC), were reported to be superior to @entity7617 ( @entity7617 , using 5 mm instruments) in postoperative course and cosmetic outcome. However, the use of MLC to date has been largely restricted to uncomplicated situations. Since @entity7617 has been proved to be a safe and efficient technique for acute @entity2679 especially if conducted early, this study tests the feasibility and safety of MLC for acute @entity2679 . METHODS: Sixty-nine consecutive @entity1 with acute @entity2679 were prospectively randomized to minilaparoscopic (n = 38) or conventional laparoscopic (n = 31) cholecystectomy, and the operations were conducted within 2 days of admission whenever possible. Despite different operative techniques, both groups of @entity1 received identical preoperative preparation, evaluation and postoperative care. The two groups were compared for @entity1 characteristics, results of laboratory tests, predictive score for LC difficulties, operative time, operative complications, hospitalization days and need for @entity6882 injection for wound @entity158 . RESULTS: The conversion rate was 7.9% (3 of 38) for the MLC group and 6.5% (2 of 31) for the @entity7617 group. Nine @entity1 in the MLC group and 7 in the @entity7617 group had concomitant @entity2877 and underwent endoscopic stone retrieval before operation. The age, sex, predictive score for LC difficulties, preoperative leukocyte count, length of hospital stay and requirement of intramuscular @entity6882 injections were similar for both groups of @entity1 , while, the operative times were marginally longer in the MLC group (113.8 +/- 30.8 versus 98.2 +/- 33.2 minutes, P = 0.056). No major complications occurred in either group. CONCLUSIONS: The results of cholecystectomy for acute @entity2679 by MLC are as good as those of @entity7617 if the operation is performed early, with obvious smaller incisions and minimal complications. MLC is a safe and effective procedure for @entity1 with acute @entity2679 , and has an acceptable low conversion rate.
