Estudo comparativo entre colecistectomia por laparoscopia convencional e minilaparoscopia realizadas em hospital escola / Comparative trial between conventional laparoscopic and minilaparoscopic cholecystectomy proceeded at school hospital
O advento de procedimentos como a minilaparoscopia (MLC) tem feito com que a laparoscopia convencional (LC) seja reconsiderada. Contudo, ainda não está claro se a MLC adiciona benefícios aos já gerados pela LC.
Objetivo:
Este estudo busca comparar tempo cirúrgico, complicações peri e pós-operatórias, marcadores inflamatórios e dor referida das colecistectomias por LC e MLC.
Dentre os resultados, a LC apresentou menortempo cirúrgico e a MLC menordor no sétimo pós-operatório, ambos com significância estatística.
Conclusão:
Conclui-se que ambas as técnicas se mostraram seguras e efetivas, cabendo cirurgião a escolha da técnica que apresenta maior habilidade e que seja mais adequada para o paciente
The advent of procedures as minilaparoscopy (MLC) has made conventional laparoscopy (LC) be reconsidered. However, it's still unclear whether MLC adds benefits to those already generated by LC.
A randomized clinical trial was conducted at the Hospital da Cruz Vermelha-PR, where the data of 37 patients were analyzed, 18 submitted to LC and 19, to MLC. Of these, 24.32% were men and 75.77% were women.
Results:
Among the results, LC presented shorter surgical time and MLC had lower pain at the seventh postoperative day, both with statistical significance.
Conclusion:
It was concluded that both techniques proved to be safe and effective and it's the surgeon's choice to opt for the technique that he has more dexterity with and is more appropriate for the patient