Laparoscopic Cholecystectomy: What has changed Over the Last Three Decades?

Mustafa Hasbahceci

Department of General Surgery, Bezmialem Vakif University, Turkey

^*Correspondance to: Mustafa Hasbahceci 

 PDF  Full Text DOI: 10.25107/2474-1647.1166

Abstract

The surgical management of gallstone disease has undergone significant changes during the last three decades starting from open cholecystectomy to laparoscopic cholecystectomy and other minimally invasive techniques like single incision, robotic or natural orifice transluminal endoscopic cholecystectomy. Considering all of the outstanding features of laparoscopic cholecystectomy including less postoperative pain, low incidence of complications, similar rates of biliary injury, shorter length of hospital stay and more rapid return to full activity, it can be regarded as the gold standard and it is believed that it will continue to sustain its status until the development of a superior technique and its widespread clinical use. Laparoscopic cholecystectomy is a rare and precious example of the surgical techniques which changed the thinking and operating habits of surgeons. Demand and praise of the patients for laparoscopic cholecystectomy has been another feature which forced the rapid acceptance of the technique all over the World. With regard to find a new innovative technique being more minimally invasive operation than laparoscopic cholecystectomy with a lesser degree of postoperative pain and better cosmetic outcomes, even creating an incision less surgery, several modifications and techniques have been tried. However, due to the fact that safety of the patients is a vital issue, these modifications and techniques should not be performed with a presumable advantage of better cosmetic outcome or non-significant lesser degree of postoperative pain. But, the experienced surgeons can perform these innovative technological approaches due to the patient’s desire or as part of ongoing clinical trials, preferably in the presence of the ethical committee approval or the institutional review board approval.

Keywords

Cholecystectomy; Laparoscopic; Minimally invasive surgical procedures; Robotic; Endoscopic surgery

Cite the article

Hasbahceci M. Laparoscopic Cholecystectomy: What has changed Over the Last Three Decades? Clin Surg. 2016; 1: 1166.