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Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery

B Dallemagne, MD P Donepudi, MS D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Dec 2015;15(12). URL: http://websurg.com/doi/vd01en4541

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  • 2015-12-17
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Mini-laparoscopic surgery involves the usage of small trocars and instruments, ranging from 2 to 3.5mm in size. The operative procedure is similar to that of a conventional laparoscopic cholecystectomy, except for the size of instruments. The use of micro-instruments requires a selection of patients and a minor adaptation to the surgical steps as these instruments are more fragile and they require the use of micro-optics to apply clips to the cystic duct and artery. The small trocars cause less tissue damage, and subsequently result in less postoperative pain, a faster recovery, and a better cosmesis.