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2026, Number 1

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Cir Gen 2026; 48 (1)

Experience in minilaparoscopic surgery with low-friction trocars. Report of 922 cases

Mendoza CC, Dávila ARA

Language: Spanish
References: 15
Page: 24-28
PDF size: 1171.66 Kb.


ABSTRACT

Introduction: in 1996, a variant of minimally invasive surgery was created for the treatment of various pathologies called minilaparoscopy, whose purpose is to reduce surgical trauma through the reduction of the diameter of the usual instruments. Objective: to present our surgical group's experience performing surgical procedures using mini-laparoscopic surgery with low-friction trocars over a 10-year period, demonstrating that this technique is feasible, reproducible, cost-effective, and offers aesthetic benefits for the treatment of various pathologies. Material and methods: the study included 922 cases of patients who underwent mini-laparoscopic surgery using low-friction trocars from May 2013 to December 2023. Results: of the 922 total cases, 342 (37.09%) were appendectomies, with the most frequent severity grade being grade III; the average surgical time was 60 minutes. In 457 cholecystectomies (49.56%), the most frequent severity grade was Parkland II; the average operative time was 60 minutes; there was a 13% conversion to open surgery. Of the 96 inguinal hernioplasties (10.41%), the most frequent type was L2 according to the European Hernia Classification; the average operative time was 120 minutes, and 43.7% had a score of 1 to 3 on the VAS scale. Finally, for the 27 cases of miscellaneous procedures (2.92%), the average operative time was 60 minutes. Conclusions: based on the results obtained at our institution, minilaparoscopic surgery is a feasible and reproducible technique. Furthermore, there is no difference between minilaparoscopic surgery and conventional laparoscopic surgery.


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