MINI LAPAROSCOPIC CHOLECYSTECTOMY

     Laparoscopic surgery is a minimal access technique utilised to perform abdominal surgeries. The commonly done procedure is laparoscopic cholecystectomy (LAPCHOLE). In this procedure four ports are used to complete the procedure. Primary port is around the umbilicus with 10 mm opening (Port). Another 10mm port is introduced at upper abdomen below chest for application of clips and to retrieve the specimen. Two other 5mm ports are placed on the right side of the upper abdomen as working ports. In Mini-laparoscopic cholecystectomy (Mini-lapchole) the umbilical port is 5mm size which gives much lesser pain than routine laparoscopic cholecystectomy. Another advantage is that the development of port hernia possibility at this umbilical port is nil. The important reasons for the development of port hernia in routine laparoscopic surgery are that the size of the port is more than 7mm and not closing the rectus sheath with non-absorbable suture material. So, the usage of mini-laparoscopic technique in laparoscopic cholecystectomy will be useful to reduce the post operative pain and also to prevent the development of port hernia. The availability of higher end laparoscopic equipment is mandatory to perform this mini-laparoscopic cholecystectomy. Also, the availability of experienced laparoscopic surgical team is very important to perform mini-laparoscopic cholecystectomy.