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JOURNAL ARTICLE
Laparoscopic cholecystectomy using fine-caliber instruments.
Surgical Endoscopy 1998 March
The advantages of laparoscopic cholecystectomy (LC) are based on its low invasiveness due to the small surgical wounds. If LC could be performed using fine-caliber instruments, these advantages would be amplified. We developed 3-mm-caliber instruments and performed LC in 20 patients using one 5-mm and two 3-mm instrument ports. The results were retrospectively compared with those of standard LC. The operating time (107.2 +/- 50.0 min), complication rate (0%), number of doses of analgesia (0.80 +/- 0.83), and postoperative hospital stay (4.9 +/- 1.2 days) were not significantly different between our method and standard LC. At 6 months postoperatively, the scars were smaller with our method. Surgery using fine-caliber instruments was no more difficult than standard LC and achieved a superior cosmetic outcome.
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