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New Indian Journal of Surgery

Volume  10, Issue 4, July - August 2019, Pages 383-387
 

Original Article

Efficacy of Mini lap Cholecystectomy in the Management of Symptomatic Cholelithiasis

AVN Ganga Prasad1, Pradeep Gudi Pati2

1Associate Professor, 2Assistant Professor, Department of General Surgery, Narayana Medical college Hospital, Chintareddy palem, Nellore, Andhra Pradesh

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10419.6

Abstract

Gallstone disease is one of the most common biliary pathology. It is estimated that gallstones affect 10–15% of the population in the western societies. Approximately 1–2% of asymptomatic patients will develop symptoms requiring surgery per year, making cholecystectomy one of the most common surgeries performed by the general surgeons. Traditional open cholecystectomy (OC) has more postoperative pain due to excessive dissection and lengthy muscle dissection. Hence laparoscopic cholecystectomy (LC) was introduced which revolutionized the treatment of gallstone disease. Though, these advances have markedly reduced postoperative pain and hospital stay, etc. they are associated with high cost, long, learning curve and also postoperative complications. Incidence of CBD injury is found to be high in LC compared to conventional cholecystectomy. The advent of Mini Lap cholecystectomy (MLC) has brought down the cost, hospitalization stay early return to work, etc. Hence in resource poor countries, MLC is an acceptable alternative too LC, as it is done through a small 5–6 cm incision. The advantages of performing cholecystectomy through a minimal incisions controversial. In view of the above the present study is taken up to evaluate the efficacy of Mini lap cholecystectomy.

Keywords: Mini lap cholecystectomy; cholelithiasis.


Corresponding Author : Pradeep Gudi Pati