Three-dimensional Laparoscopy (3D-LC) Versus Minilaparotomy (MC) in Cholecystectomy: A Prospective Randomized Study
Three-dimensional laparoscopy (3D-Lap) is a recent innovation in surgery. The 3D-Lap is rarely used in cholecystectomy (3D-LC) and there are no prospective studies assessing advantages and disadvantages of 3D-LC versus minilaparotomy (MC) in cholecystectomy. This was a prospective clinical study con...
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| Veröffentlicht in: | In vivo (Athens) 2022-11, Vol.36 (6), p.2835-2839 |
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| creator | Eskelinen, Maaret Saimanen, Iina Selander, Tuomas Kärkkäinen, Jari Juvonen, Petri Aspinen, Samuli Eskelinen, Matti |
| description | Three-dimensional laparoscopy (3D-Lap) is a recent innovation in surgery. The 3D-Lap is rarely used in cholecystectomy (3D-LC) and there are no prospective studies assessing advantages and disadvantages of 3D-LC versus minilaparotomy (MC) in cholecystectomy.
This was a prospective clinical study conducted in the Kuopio University Hospital, including 200 patients with symptomatic cholelithiasis who were randomized into 3D-LC (n=112) or MC (n=88) groups. The numeric rating scale (NRS) pain score and number of analgesic doses (NAD) following surgery were documented.
Similar low postoperative pain scores were reported in the 3D-LC and MC groups during the first hours following surgery, although the 3D-LC patients reported lower NRS pain score (p |
| doi_str_mv | 10.21873/invivo.13022 |
| format | Article |
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This was a prospective clinical study conducted in the Kuopio University Hospital, including 200 patients with symptomatic cholelithiasis who were randomized into 3D-LC (n=112) or MC (n=88) groups. The numeric rating scale (NRS) pain score and number of analgesic doses (NAD) following surgery were documented.
Similar low postoperative pain scores were reported in the 3D-LC and MC groups during the first hours following surgery, although the 3D-LC patients reported lower NRS pain score (p<0.05) one hour postoperatively. Interestingly, the 3D-LC patients showed significantly less pain 24 hours following surgery, the mean of NRS of 0-10 score at rest being 1.2 in the 3D-LC group versus 2.2 in the MC group (p<0.001), and the pain at the quick movement/coughing, the mean NRS being 2.9 in the 3D-LC group versus 3.6 in the MC group (p=0.05).
The 3D-LC patients reported significantly lower pain scores 24 hours postoperatively than MC patients. However, the patient experience of pain depends on many factors and our results suggest that both 3D-LC and MC are safe and efficient techniques for cholecystectomy.</description><identifier>ISSN: 0258-851X</identifier><identifier>EISSN: 1791-7549</identifier><identifier>DOI: 10.21873/invivo.13022</identifier><identifier>PMID: 36309399</identifier><language>eng</language><publisher>Greece: International Institute of Anticancer Research</publisher><subject>Cholecystectomy - methods ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - methods ; Humans ; Laparoscopy ; Laparotomy - methods ; Pain, Postoperative - diagnosis ; Pain, Postoperative - etiology</subject><ispartof>In vivo (Athens), 2022-11, Vol.36 (6), p.2835-2839</ispartof><rights>Copyright © 2022, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.</rights><rights>Copyright 2022, International Institute of Anticancer Research 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-ce3bcf5db607b6da32935d4ab512464516ac5fb9d1c61024823129de6699564d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677764/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677764/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36309399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eskelinen, Maaret</creatorcontrib><creatorcontrib>Saimanen, Iina</creatorcontrib><creatorcontrib>Selander, Tuomas</creatorcontrib><creatorcontrib>Kärkkäinen, Jari</creatorcontrib><creatorcontrib>Juvonen, Petri</creatorcontrib><creatorcontrib>Aspinen, Samuli</creatorcontrib><creatorcontrib>Eskelinen, Matti</creatorcontrib><title>Three-dimensional Laparoscopy (3D-LC) Versus Minilaparotomy (MC) in Cholecystectomy: A Prospective Randomized Study</title><title>In vivo (Athens)</title><addtitle>In Vivo</addtitle><description>Three-dimensional laparoscopy (3D-Lap) is a recent innovation in surgery. The 3D-Lap is rarely used in cholecystectomy (3D-LC) and there are no prospective studies assessing advantages and disadvantages of 3D-LC versus minilaparotomy (MC) in cholecystectomy.
This was a prospective clinical study conducted in the Kuopio University Hospital, including 200 patients with symptomatic cholelithiasis who were randomized into 3D-LC (n=112) or MC (n=88) groups. The numeric rating scale (NRS) pain score and number of analgesic doses (NAD) following surgery were documented.
Similar low postoperative pain scores were reported in the 3D-LC and MC groups during the first hours following surgery, although the 3D-LC patients reported lower NRS pain score (p<0.05) one hour postoperatively. Interestingly, the 3D-LC patients showed significantly less pain 24 hours following surgery, the mean of NRS of 0-10 score at rest being 1.2 in the 3D-LC group versus 2.2 in the MC group (p<0.001), and the pain at the quick movement/coughing, the mean NRS being 2.9 in the 3D-LC group versus 3.6 in the MC group (p=0.05).
The 3D-LC patients reported significantly lower pain scores 24 hours postoperatively than MC patients. However, the patient experience of pain depends on many factors and our results suggest that both 3D-LC and MC are safe and efficient techniques for cholecystectomy.</description><subject>Cholecystectomy - methods</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparotomy - methods</subject><subject>Pain, Postoperative - diagnosis</subject><subject>Pain, Postoperative - etiology</subject><issn>0258-851X</issn><issn>1791-7549</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1P3DAQxS3UCraUY6-Vj3AI9Udsxz1UQktpKy2iohT1Zjn2bNdVYoc4WWn56wm7FMFpNPN7ejOjh9AHSk4ZrRT_FOI6rNMp5YSxPTSjStNCiVK_QTPCRFVUgv45QO9y_keIVISwfXTAJSeaaz1D-WbVAxQ-tBBzSNE2eGE726fsUrfBx_y8WMxP8C30ecz4MsTQbPGQ2oleTihEPF-lBtwmD-Ae55_xGf45OXRTG9aAr230qQ334PGvYfSb9-jt0jYZjp7qIfp98fVm_r1YXH37MT9bFI6X1VA44LVbCl9LomrpLWeaC1_aWlBWylJQaZ1Y1tpTJylhZcU4ZdqDlFoLWXp-iL7sfLuxbsE7iENvG9P1obX9xiQbzGsSw8r8TWujpVJKlpPB8ZNBn-5GyINpQ3bQNDZCGrNhihNOpaJ8khY7qZsezz0sn9dQYrZBmV1QZhvUpP_48rZn9f9k-AMH3ZGh</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Eskelinen, Maaret</creator><creator>Saimanen, Iina</creator><creator>Selander, Tuomas</creator><creator>Kärkkäinen, Jari</creator><creator>Juvonen, Petri</creator><creator>Aspinen, Samuli</creator><creator>Eskelinen, Matti</creator><general>International Institute of Anticancer Research</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20221101</creationdate><title>Three-dimensional Laparoscopy (3D-LC) Versus Minilaparotomy (MC) in Cholecystectomy: A Prospective Randomized Study</title><author>Eskelinen, Maaret ; Saimanen, Iina ; Selander, Tuomas ; Kärkkäinen, Jari ; Juvonen, Petri ; Aspinen, Samuli ; Eskelinen, Matti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-ce3bcf5db607b6da32935d4ab512464516ac5fb9d1c61024823129de6699564d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cholecystectomy - methods</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparotomy - methods</topic><topic>Pain, Postoperative - diagnosis</topic><topic>Pain, Postoperative - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eskelinen, Maaret</creatorcontrib><creatorcontrib>Saimanen, Iina</creatorcontrib><creatorcontrib>Selander, Tuomas</creatorcontrib><creatorcontrib>Kärkkäinen, Jari</creatorcontrib><creatorcontrib>Juvonen, Petri</creatorcontrib><creatorcontrib>Aspinen, Samuli</creatorcontrib><creatorcontrib>Eskelinen, Matti</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>In vivo (Athens)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eskelinen, Maaret</au><au>Saimanen, Iina</au><au>Selander, Tuomas</au><au>Kärkkäinen, Jari</au><au>Juvonen, Petri</au><au>Aspinen, Samuli</au><au>Eskelinen, Matti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-dimensional Laparoscopy (3D-LC) Versus Minilaparotomy (MC) in Cholecystectomy: A Prospective Randomized Study</atitle><jtitle>In vivo (Athens)</jtitle><addtitle>In Vivo</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>36</volume><issue>6</issue><spage>2835</spage><epage>2839</epage><pages>2835-2839</pages><issn>0258-851X</issn><eissn>1791-7549</eissn><abstract>Three-dimensional laparoscopy (3D-Lap) is a recent innovation in surgery. The 3D-Lap is rarely used in cholecystectomy (3D-LC) and there are no prospective studies assessing advantages and disadvantages of 3D-LC versus minilaparotomy (MC) in cholecystectomy.
This was a prospective clinical study conducted in the Kuopio University Hospital, including 200 patients with symptomatic cholelithiasis who were randomized into 3D-LC (n=112) or MC (n=88) groups. The numeric rating scale (NRS) pain score and number of analgesic doses (NAD) following surgery were documented.
Similar low postoperative pain scores were reported in the 3D-LC and MC groups during the first hours following surgery, although the 3D-LC patients reported lower NRS pain score (p<0.05) one hour postoperatively. Interestingly, the 3D-LC patients showed significantly less pain 24 hours following surgery, the mean of NRS of 0-10 score at rest being 1.2 in the 3D-LC group versus 2.2 in the MC group (p<0.001), and the pain at the quick movement/coughing, the mean NRS being 2.9 in the 3D-LC group versus 3.6 in the MC group (p=0.05).
The 3D-LC patients reported significantly lower pain scores 24 hours postoperatively than MC patients. However, the patient experience of pain depends on many factors and our results suggest that both 3D-LC and MC are safe and efficient techniques for cholecystectomy.</abstract><cop>Greece</cop><pub>International Institute of Anticancer Research</pub><pmid>36309399</pmid><doi>10.21873/invivo.13022</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Cholecystectomy - methods Cholecystectomy, Laparoscopic - adverse effects Cholecystectomy, Laparoscopic - methods Humans Laparoscopy Laparotomy - methods Pain, Postoperative - diagnosis Pain, Postoperative - etiology |
| title | Three-dimensional Laparoscopy (3D-LC) Versus Minilaparotomy (MC) in Cholecystectomy: A Prospective Randomized Study |
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