Estamos de volta!Oi meu nome e Leticia Soares e sou aluna da escola Loureiro Junior, esse blog foi feito inicialmente pelas pessoas do gremio RVO ou algo parecido mais com o tempo ele foi perdendo os posts, comentarios e afins. Felizmente estamos aqui de volta no blog pra deixar todos que ja passaram, estao ou vao passar pelo LJ por dentro dessa escola que ta mais pra uma familia. Espero agradar todos voces e vou me empenhar muito pra isso. Com carinho Boletim Loureiro Junior (: POLEMICA NA VIDEOCIRURGIA - COLECISTECTOMIA MINI VERSUS CONVENCIONAL LAPAROSCOPICAO artigo original publicado no Journal of Laparoendoscopic & Advanced Surgical Techniques:Mini-Laparoscopic Versus Conventional Laparoscopic Cholecystectomy: A Randomized Controlled Trialna edicao de fevereiro 2013 (doi:10.1089/lap.2012.0349).Autores do Departmento de Cirurgia Geral do Hospital Sint-Lucas, Ghent, Belgica.Luis Filipe Abreu de Carvalho, MD, Kjell Fierens, MD, and Marc Kint, MDABSTRACTBackground: Several studies have reported faster recoveries, lower pain scores, and superior cosmetic results after mini-laparoscopic cholecystectomy (MLC). The purpose of this study was to perform a randomized controlled trial, comparing MLC with conventional laparoscopic cholecystectomy (LC).Subjects and Methods: Forty-one patients with symptomatic cholecystolithiasis were randomized between the two groups: 23 having undergone LC and 18 MLC. The primary end point was postoperative pain, which was evaluated during the first 24 hours postoperatively, using the numerical rating scale. Patient satisfaction with the cosmetic result was evaluated after 1 month.Results: The two groups were comparable concerning age, sex, and body mass index. The median operating time (42 minutes versus 45 minutes; P=.386), complication rate, and duration of hospital stay (2 days; P=.611) were similar in both groups. The level of postoperative pain was analogous at every time. There was no difference in the analgesic requirements or cosmesis.Conclusions: MLC showed similar results concerning postoperative pain and did not lead to a greater patient satisfaction with the cosmetic result, compared with LC. MLC did not take longer to perform, nor was it associated with major complications or a high conversion rate. MLC is a safe and feasible technique for the treatment of gallbladder disease in elective patients.Resposta Dr. Gustavo Carvalho, "Papa" da minilapMinilaparoscopic Surgery Not Just a Pretty Face! - What can be found beyond the aesthetics reasons? Letter to EditorAuthors:Gustavo L. Carvalho MD, PhD. [1] - glcmd1@gmail.comLeandro Totti Cavazzola [2] - cavazzola@hotmail.comPrashant Rao [3] - pprao2@mac.comInstitutes:[1] Oswaldo Cruz University Hospital and UNIPECLIN, Faculty of Medical Sciences, University of Pernambuco Recife, Brazil[2] Universidade Federal do Rio Grande do Sul - Porto Alegre, Brazil[3] RAO Institute We read with careful interest the paper entitled Mini-Laparoscopic Versus Conventional Laparoscopic Cholecystectomy: A Randomized Controlled Trial by Carvalho and cols. Although we can no more than agree with most of the ideas, several missing points still needs to be addressed. The authors conclude, with a very small sample size and using a nonstandard technique for mini-chole, that there is no difference between laparoscopic (LC) and mini cholecistectomy (MLC). The authors used systematically a 5mm trocar and a drain, something that really runs out from the scope of minimalizing trauma. There are two main standard techniques for MLC, with over