Experience in the use of minilaparoscopy at the ABC Medical Center

Abstract:

Minilaparoscopy (MINI) is an advance of conventional laparoscopic surgery (CLC) that utilizes surgical instrument 3 mm in caliber. It produces a cosmetic outcome similar to the one obtained by natural orifice trasendolumenal endoscopic surgery (NOTES), and a more aesthetic wound that the one obtained by single-port laparoscopic surgery (SILS/LESS), while preserving the safety principles CLS has proven through the years. The use of low-friction ports produces less abdominal wall trauma that reflects in less postoperative pain, shorter hospital stay and also shorten the time to a full recovery. Objective: To report the initial experience with the use of Minilaparoscopy at the ABC Medical Center in Mexico City. Methods: We conducted an observational, retrospective, descriptive study including patients that underwent minilaparoscopic surgical procedures at the ABC Medical Center during a 2 year period. Sex, age, type of procedure, operative time (TQ), bleeding (ST), complications and rate of convertion to CLS or open surgery were registered. Regarding type of procedure, we performed appendectomies (MINI-AL), cholecystectomy (MINI-CL), inguinal hernia repair (MINI-PI), and fundoplicature (MINI-FN). Variables were collected in our data base and were analyzed using central tendency measures. We included patients that were submitted to mini-laparoscopic procedures from May, 2012 to August, 2014. Patients which did not have a complete medical record or lack of study variables were excluded. All procedures were undertaken by a single surgeon. Results: A total of 60 patients conformed the study group (H: 66.6%; M: 33.3%) with a mean …

Año de publicación:

2013

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