Mini access
The “mini-assistant” system opens a deep, narrow wound into a stable surgical field: the cervical elements are treated under direct vision, as in open surgery, but the trauma to the wall is minimal - patients get up on the day of surgery, the pain is moderate, and hospitalization is shorter. The method is optimal for planned cholelithiasis in patients with severe COPD, heart failure, and after multiple operations in the lower abdomen. The limitation is severe infiltration and high obesity, where a classic approach is needed.
Indications
- contraindications to pneumoperitoneum (severe cardiopulmonary pathology);
- massive adhesive process of the upper floor after operations;
- complicated forms: dense infiltrate, Mirizzi syndrome, fistulas;
- conversion in case of technical difficulties of laparoscopy (planned insurance).
Open surgery location today
Laparoscopy is the method of choice, but open cholecystectomy remains a necessary tool: for infiltrates and fistulas, direct tissue control is safer; for contraindications to gas in the abdomen, it is the only option. Mini access (4–6 cm) with a ring retractor combines the reliability of an open technique with less trauma: shorter hospitalization and recovery. All options are completed with the histology of the bladder; A two-day hospital stay is included according to the price list for open surgery.
