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Micro-instrumentation for laparoscopic cholecystectomy: specificities of the surgical steps

D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2015;15(01). URL: http://websurg.com/doi/vd01en4165

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  • 2015-01-14
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Between single port surgery and a standard laparoscopic approach, there is an option rarely proposed to offer patients a micro-invasive approach to perform a cholecystectomy. The use of micro-instrumentation requires a selection of patients but also an adaptation of the different surgical steps as these instruments are shorter, more fragile, and as they require micro-optics to apply clips on the cystic duct and artery. These specificities are described in a stepwise manner. The objectives are optimal cosmetic results and reduced postoperative pain.