{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T13:52:53Z","timestamp":1720446773474},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Mini laparotomy cholecystectomy (MLC) is an alternative surgical procedure in conditions where laparoscopic cholecystectomy (LC) is not feasible. MLC is a simpler and easier technique compared to LC. MLC involves smaller skin incision, low morbidity rate, and early return to oral diet. MLC has the potential to be the preferred surgical technique in developing countries due to its low cost and availability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cohort retrospective study was performed on 44 patients who underwent mini laparotomy cholecystectomy due to ineligibility for LC. Patients were documented for successful mini laparotomy or conversion to laparotomy cholecystectomy. There are pre-operative aspects recorded and analyzed to formulate predictor factors for conversion surgery, as well as intra-operative and post-operative aspects. Patients also filled evaluation questionnaire based on Likert Scale about their satisfaction towards result of MLC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>MLC is performed in 31 (70.5%) patients while 13 (29.5%) patients underwent conversion to open cholecystectomy. There were no complications nor mortalities observed during and after the surgery. Greater BMI, higher leucocyte count, higher bilirubin level, increasing severity of adhesion, and chronic cholecystitis were found to be statistically significant (p\u2009&lt;\u20090.05) in the conversion surgery group. MLC also resulted in shorter post-operative hospitalization compared to conversion surgery. Patients showed great satisfaction towards the cosmetic aspect and recovery period after MLC procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MLC is an effective surgery procedure for cholelithiasis and can be safely performed in patients with complication such as cholecystitis and gallbladder adhesion although these conditions increase the risk of conversion surgery.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12893-022-01792-9","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T04:02:42Z","timestamp":1663560162000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness and predictors of conversion in mini-laparotomy cholecystectomy in developing country: a cohort retrospective study"],"prefix":"10.1186","volume":"22","author":[{"given":"Adeodatus Yuda","family":"Handaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Andrew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Shafa","family":"Hanif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Radinal","family":"Tjendra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azriel Farrel Kresna","family":"Aditya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"key":"1792_CR1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.4172\/2332-0877.1000371","volume":"6","author":"D Jiang","year":"2018","unstructured":"Jiang D, et al. Clinical application research of the improved \u201cmini\u201d laparoscopic cholecystectomy. J Infect Dis Ther. 2018;6:4. https:\/\/doi.org\/10.4172\/2332-0877.1000371.","journal-title":"J Infect Dis Ther"},{"key":"1792_CR2","doi-asserted-by":"publisher","unstructured":"Beckingham IJ. Gallstones. Medicine 2019. Elsevier Ltd. Doi: doi:https:\/\/doi.org\/10.1016\/j.mpmed.2019.09.003","DOI":"10.1016\/j.mpmed.2019.09.003"},{"key":"1792_CR3","doi-asserted-by":"publisher","DOI":"10.15406\/ghoa.2016.05.00169","author":"D Hakan","year":"2016","unstructured":"Hakan D, et al. The rationality of mini-laparotomy cholecystectomy in symptomatic gallbladder disease: a retrospective cohort study. Gastroenterol Hepatol Open Access. 2016. https:\/\/doi.org\/10.15406\/ghoa.2016.05.00169.","journal-title":"Gastroenterol Hepatol Open Access"},{"key":"1792_CR4","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.ijsu.2007.07.004","volume":"5","author":"AM Shulutko","year":"2007","unstructured":"Shulutko AM, et al. Mini-laparotomy cholecystectomy: technique, outcomes: a prospective study. Int J Surg. 2007;5:423\u20138. https:\/\/doi.org\/10.1016\/j.ijsu.2007.07.004.","journal-title":"Int J Surg"},{"issue":"3","key":"1792_CR5","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1080\/13651820310015275","volume":"5","author":"R Sinha","year":"2003","unstructured":"Sinha R, Sharma N. Difficult laparoscopic cholecystectomy in acute cholecystitis: use of \u2018finger port\u2019, a new approach. HPB. 2003;5(3):133\u20136. https:\/\/doi.org\/10.1080\/13651820310015275.","journal-title":"HPB"},{"issue":"8","key":"1792_CR6","doi-asserted-by":"crossref","first-page":"631","DOI":"10.47102\/annals-acadmedsg.V36N8p631","volume":"36","author":"KR Lim","year":"2007","unstructured":"Lim KR, Ibrahim S, Tan NC, Lim SH, Tay KH. Risk factors for conversion to open surgery in patients with acute cholecystitis undergoing interval laparoscopic cholecystectomy. Ann Acad Med Singap. 2007;36(8):631\u20135.","journal-title":"Ann Acad Med Singap"},{"issue":"6","key":"1792_CR7","doi-asserted-by":"publisher","first-page":"336","DOI":"10.5114\/pg.2014.45491","volume":"9","author":"E Oymaci","year":"2014","unstructured":"Oymaci E, Ucar AD, Aydogan S, Sari E, Erkan N, Yildirim M. Evaluation of affecting factors for conversion to open cholecystectomy in acute cholecystitis. Prz Gastroenterol. 2014;9(6):336\u201341. https:\/\/doi.org\/10.5114\/pg.2014.45491.","journal-title":"Prz Gastroenterol"},{"issue":"2","key":"1792_CR8","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1590\/S0102-67202014000200013","volume":"27","author":"PM Castro","year":"2014","unstructured":"Castro PM, et al. Laparoscopic cholecystectomy versus mini-laparotomy in cholelithiasis: systematic review and meta-analysis. Arq Bras Cir Dig. 2014;27(2):148\u201353.","journal-title":"Arq Bras Cir Dig"},{"issue":"11","key":"1792_CR9","doi-asserted-by":"publisher","first-page":"3696","DOI":"10.18203\/2349-2902.isj20174888","volume":"4","author":"N Suresh","year":"2017","unstructured":"Suresh N, et al. A comparative study of laparoscopic versus mini laparotomy cholecystectomy. Int Surg J. 2017;4(11):3696\u2013700.","journal-title":"Int Surg J"},{"key":"1792_CR10","doi-asserted-by":"publisher","first-page":"1178","DOI":"10.1001\/archsurg.140.12.1178","volume":"140","author":"YW Novitsky","year":"2005","unstructured":"Novitsky YW, et al. Advantages of mini-laparoscopic vs conventional laparoscopic cholecystectomy results of a prospective randomized trial. Arch Surg. 2005;140:1178\u201383.","journal-title":"Arch Surg"},{"key":"1792_CR11","doi-asserted-by":"publisher","DOI":"10.9790\/0853-14712534","author":"S Marthandam","year":"2015","unstructured":"Marthandam S, Ananda R. Laparoscopic versus minilaparotomy cholecystectomy\u2014a comparative study. IOSR-JDMS. 2015. https:\/\/doi.org\/10.9790\/0853-14712534.","journal-title":"IOSR-JDMS."},{"key":"1792_CR12","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.ijsu.2009.11.007","volume":"8","author":"C Mushtaq","year":"2010","unstructured":"Mushtaq C, et al. Mini-lap cholecystectomy: modifications and innovations in technique. Int J Surg. 2010;8:112\u20137. https:\/\/doi.org\/10.1016\/j.ijsu.2009.11.007.","journal-title":"Int J Surg"},{"issue":"4","key":"1792_CR13","doi-asserted-by":"publisher","first-page":"117","DOI":"10.14744\/less.2017.37450","volume":"24","author":"A Deniz","year":"2017","unstructured":"Deniz A, et al. Mini-laparoscopic versus traditional laparoscopic cholecystectomy: a preliminary study. 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This study has been approved by the Institutional Review Board of the Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito Central Hospital, Yogyakarta, Indonesia (KE\/FK\/0796\/EC\/ 2018). All methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent to publish the identifiable image has been obtained from the patients.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"344"}}