Etude du professeur Nicola de’Angelis (aout 2018) – cholécystectomie.
Cette étude est basée sur 14 patients consécutifs nécessitant une cholécystectomie (retrait de la vésicule biliaire) en protocole Low Impact Laparoscpy. Cette étude démontre une nouvelle fois , le peu de douleurs post opératoire sans nécessité de prise d’opioïde.
Critics of minimally invasive methods sometimes argue that the summed lengths of all trocar sites have a morbidity similar to that for an open incision of equal length. This argument assumes correctly that pain and scarring are proportional to the total tension normal to a linear incision. But the argument also assumes that total tension sums linearly with incision length. This report demonstrates why that premise is not valid.
Ghezzi F, Fanfani F, Malzoni M, Uccella S, Fagotti A, Cosentino F , Cromi A , Scambia G
To analyze the preliminary experience of three gynecologic oncology services with minilaparoscopic radical hysterectomy (mLRH) for the treatment of cervical cancer and to compare perioperative outcomes with those of conventional laparoscopic surgery (LRH).
Francesco Fanfani, MD*, Anna Fagotti, PhD, Maria Lucia Gagliardi, MD,Giorgia Monterossi, MD, Cristiano Rossitto, MD, Barbara Costantini, MD,Salvatore Gueli Alletti, MD, Giuseppe Vizzielli, MD, Alfredo Ercoli, MD, and Giovanni Scambia, MD
To compare perioperative outcomes and postoperative pain of minilaparoscopic (M-LPS) and laparoendoscopic single-site total hysterectomy (LESS)
Muhammad S. Sajid, Munir A. Khan, Kausik Ray, Elizabeth Cheek and Mirza K. Baig
Department of Colorectal Surgery, Worthing Hospital, Worthing, West Sussex UK
Needlescopic cholecystectomy is superior to laparoscopic cholecystectomy for less post-operative pain and better cosmetic results. Needlescopic cholecystectomy is associated with longer operative time and higher conversion rate.
W. K. Cheah, J. E. Lenzi, J. B. Y. So, C. K. Kum and P. M. Y. Goh
Since the early 1990s, laparoscopic cholecystectomy has overtaken open cholecystectomy as the procedure of choice for chronic cholecystitis, offering atients a shorter hospital stay, less postoperative pain an dan early recovery.
Needlescopic surgery, using instruments with a diameter less than 3 mm, has been adapted to perform laparoscopic cholecystectomy.
The small-calibre instruments result in smaller scars. This paper reports a randomized trial of needlescopic versus laparoscopic cholecystectomy in which
duration of operation, postoperative pain and complications were compare din patients with symptomatic cholelithiasis.
Gustavo Lopes de Carvalho • Leandro Totti Cavazzola
In his paper, the author states, based on an interesting and elegant mathematical model, that conventional incisions are subject to more tension than laparoscopic incisions, even when the total length is equal.
We have been working with needlescopic surgery for more than 10 years.