This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial.
BACKGROUND Downsizing the port incisions may reduce pain after laparoscopic cholecystectomy . METHODS In a double-blind controlled study , 60 patients were r and omized to undergo either microlaparoscopic cholecystectomy using one 10-mm and three 3.5-mm trocars ( 3.5-mm LC ) or traditional laparoscopic cholecystectomy using two 10-mm and two 5-mm trocars ( LC ) .  Incisional pain at each port incision and overall pain were recorded for 1 week after the operation . Fatigue , nausea and vomiting , pulmonary function , and cosmetic results were also measured . RESULTS Data from 52 patients were analyzed ; eight patients were excluded from the study for various reasons . One patient was converted from 3.5-mm LC to LC due to technical problems with the 3.5-mm optic . In the 3.5-mm LC group ( n = 25 ) , incisional pain was significantly decreased in the 1st postoperative week as compared with the LC group ( n = 27 ) ( p < 0.01 ) . In both groups , pain scores at the supraumbilical 10-mm port were significantly higher compared with other port sites ( p < 0.05 ) . The cosmetic results were significantly better in the 3.5-mm LC group ( p < 0.01 ) . There were no significant differences in any of the other variables . CONCLUSION The use of 3.5-mm trocars is feasible in LC , and it both reduces incisional pain and improves the cosmetic result
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .