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Needlescopic clipless cholecystectomy as an efficient, safe, and cost-effective alternative with diminutive scars: the first 1000 cases.
Surg Laparosc Endosc Percutan Tech
October 2009
Clínica Cirúrgica, Videolaparoscópica Gustavo Carvalho, Department of Surgery, Faculdade de Ciências Médicas (FCM), Member of SAGES, SOBRACIL, ELSA and Brazilian College of Surgeons (CBC), Universidade de Pernambuco (UPE), Recife, Brazil.
Background: The advent of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS), surgery without skin scarring, is now challenging every surgeon to improve the esthetic results for patients. Minilaparoscopic cholecystectomy (MLC) represents a refinement in laparoscopic surgery, potentially as cosmetically effective as NOTES. Nevertheless, because of the increased cost and difficulty in managing the equipment, it has not been widely accepted among surgeons.
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