{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:14:24Z","timestamp":1790198064157,"version":"4.1.0"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:p>PURPOSE: To test the hypothesis that needlescopic cholecystectomies (NC) offer superior outcomes in comparison to common laparoscopic cholecystectomies (LC). METHODS: Sixty consecutive patients with gallbladder disease undergoing either LC or NC were evaluated with respect to differences in operative time, frequency of per-operative incidents, post-operative pain, late postoperative symptoms, length of scars and level of postoperative satisfaction. RESULTS: Mean operative time was similar in both groups. Most of the patients, irrespective of the technique, informed mild postoperative pain. NC patients had lower levels of pain on the 7th postoperative day (PO7) (p&lt;0.01) and decreased need for additional analgesia. Less frequency of epigastric wound pain was observed in NC patients until PO4 (p&lt;0.01). Aesthetic result was far superior after NC (total length of scars less than half after LC). No differences regarding postoperative satisfaction with the operation were observed between the studied groups. CONCLUSIONS: Both techniques were safe and effective, presenting similar operative times and low levels of postoperative pain. Downsizing the ports to 2-3 mm was associated with significantly less frequency of postoperative pain only in the epigastric wound until PO4. Aesthetic outcome of NC was significantly superior to LC, although this advantage did not influence patient level of satisfaction.<\/jats:p>","DOI":"10.1590\/s0102-86502008000600012","type":"journal-article","created":{"date-parts":[[2010,1,7]],"date-time":"2010-01-07T07:29:37Z","timestamp":1262849377000},"page":"543-550","source":"Crossref","is-referenced-by-count":12,"title":["Needlescopic versus laparoscopic cholecystectomy: a prospective study of 60 patients"],"prefix":"10.1590","volume":"23","author":[{"given":"Pedro Henrique Oliveira","family":"Cabral","sequence":"first","affiliation":[{"name":"Medical Sciences Faculty"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan Tramujas da Costa e","family":"Silva","sequence":"additional","affiliation":[{"name":"UFAM,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana\u00edna Vieira","family":"Melo","sequence":"additional","affiliation":[{"name":"Hospital of Royal and Benevolent Portuguese Society of Amazonas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicidad Santos","family":"Gimenez","sequence":"additional","affiliation":[{"name":"UFAM,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celso R\u00f4mulo Barbosa","family":"Cabral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula Calheiros de","family":"Lima","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","first-page":"1","article-title":"Gallstones and Laparoscopic Cholecystectomy","volume":"10","year":"1992","journal-title":"NIH Consens Statement","ISSN":"https:\/\/id.crossref.org\/issn\/1080-1707","issn-type":"print"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/00019509-199806000-00002","article-title":"Technical aspects of minimally invasive abdominal surgery performed with needlescopic instruments","volume":"8","author":"Gagner M","year":"1998","journal-title":"Surg Laparosc Endosc."},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s004649900971","article-title":"Needlescopic or minisite cholecystectomy","volume":"13","author":"Ngoi SS","year":"1999","journal-title":"Surg Endosc."},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1097\/00129689-200110000-00004","article-title":"Needlescopic, laparoscopic, and open appendectomy: a comparative study","volume":"11","author":"Huang MT","year":"2001","journal-title":"Surg Laparosc Endosc Percutan Tech."},{"issue":"4","key":"ref5","first-page":"303","article-title":"Needlescopic decapsulation of a splenic epithelial cyst","volume":"43","author":"Seshadri PA","year":"2000","journal-title":"Can J Surg."},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1067\/mtc.2000.107830","article-title":"Needlescopic surgery for palmar hyperhidrosis","volume":"120","author":"Yamamoto H","year":"2000","journal-title":"J Thorac Cardiovasc Surg."},{"key":"ref7","first-page":"549","article-title":"Needlescopic orchipodopexy: the technique","volume":"161","author":"Ross J","year":"1999","journal-title":"J Urol."},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1007\/s004640080024","article-title":"Needlescopic surgery: a logical evolution from conventional laparoscopic surgery","volume":"15","author":"Mamazza J","year":"2001","journal-title":"Surg Endosc."},{"issue":"4","key":"ref9","first-page":"50","article-title":"Colecistectomia agulhasc\u00f3pica: aspectos t\u00e9cnicos e resultados iniciais","volume":"14","author":"Costa e Silva I","year":"1999","journal-title":"Acta Cir Bras."},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1001\/archsurg.133.11.1156","article-title":"What alternatives has minimally invasive surgery provided the surgeon?","volume":"133","author":"Rothschild J","year":"1998","journal-title":"Arch Surg."},{"issue":"3","key":"ref11","first-page":"138","article-title":"Post-operative pain in needlescopic versus conventional laparoscopic cholecystectomy: a prospective randomised trial","volume":"46","author":"Look M","year":"2001","journal-title":"J R Coll Surg Edinb."},{"issue":"9","key":"ref12","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1001\/archsurg.138.9.1017","article-title":"Minilaparoscopic and laparoscopic cholecystectomy: a comparative study","volume":"138","author":"Huang MT","year":"2003","journal-title":"Arch Surg."},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1046\/j.1365-2168.2001.01636.x","article-title":"Randomized trial of needlescopic versus laparoscopic cholecystectomy","volume":"88","author":"Cheah WK","year":"2001","journal-title":"Br J Surg."},{"issue":"4","key":"ref14","first-page":"238","article-title":"Needlescopic cholecystectomy: prospective study of 150 patients","volume":"9","author":"Lai EC","year":"2003","journal-title":"Hong Kong Med J."},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/s00464-001-9026-5","article-title":"Microlaparoscopic vs conventional laparoscopic cholecystectomy: a prospective randomized double-blind trial","volume":"16","author":"Bisgaard T","year":"2002","journal-title":"Surg Endosc."},{"issue":"3","key":"ref16","first-page":"149","article-title":"Minilaparoscopic versus laparoscopic cholecystectomy: a randomised controlled trial","volume":"26","author":"Gupta A","year":"2005","journal-title":"Trop Gastroenterol."},{"issue":"1","key":"ref17","first-page":"5","article-title":"Colecistectomia minilaparosc\u00f3pica sem utiliza\u00e7\u00e3o de endoclipes: t\u00e9cnica e resultados em 719 Casos","volume":"5","author":"Carvalho G","year":"2007","journal-title":"Rev Bras Videocir."},{"issue":"2","key":"ref18","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0304-3959(01)00314-1","article-title":"The faces pain scale-revised: toward a common metric in pain measurement","volume":"93","author":"Hicks CL","year":"2001","journal-title":"Pain."},{"key":"ref19","series-title":"Clinical epidemiology: the essencials","author":"Fletcher H","year":"1996","edition":"3"},{"key":"ref20","first-page":"26","article-title":"The ways for reduction of complication rate after laparoscopic cholecystectomy at acute cholecystitis","volume":"12","author":"Atadzhanov SK","year":"2007","journal-title":"Khirurgiia."},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0002-9610(05)80397-6","article-title":"Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases","volume":"165","author":"Deziel DJ","year":"1993","journal-title":"Am J Surg."},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1046\/j.1440-1622.1999.01713.x","article-title":"A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy","volume":"69","author":"Hollington P","year":"1999","journal-title":"Aust N Z J Surg."},{"issue":"5","key":"ref23","first-page":"1059","article-title":"Laparoscopic cholecystectomy. Technique and complications: report of 2,665 cases","volume":"179","author":"Dubois F","year":"1995","journal-title":"Bull Acad Natl Med."},{"key":"ref24","doi-asserted-by":"crossref","first-page":"8828","DOI":"10.1016\/0140-6736(92)93148-G","article-title":"Randomised controlled trial of laparoscopic versus mini cholecystectomy: the McGill Gallstone Treatment Group","volume":"340","author":"Barkun JS","year":"1992","journal-title":"Lancet."},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s004649900654","article-title":"Laparoscopic cholecystectomy using fine-caliber instruments","volume":"12","author":"Kimura T","year":"1998","journal-title":"Surg Endosc."}],"container-title":["Acta Cirurgica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/acb\/v23n6\/a12.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,26]],"date-time":"2017-05-26T00:25:39Z","timestamp":1495758339000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-86502008000600012&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["S0102-86502008000600012"],"URL":"https:\/\/doi.org\/10.1590\/s0102-86502008000600012","relation":{},"ISSN":["0102-8650"],"issn-type":[{"value":"0102-8650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,12]]}}}