• Manuel Planells Roig, Consuelo Arnal Bertomeu, Rafael Garcia Espinosa, Maria Cervera Delgado, and Miguel Carrau Giner.
• Instituto de Cirugía y Aparato Digestivo (ICAD), Hospital Quirón de Valencia, Valencia, España. Electronic address: planells_mvi@gva.es.
• Cir Esp. 2016 Feb 1; 94 (2): 86-92.

ObjectiveDifference analysis of ambulatorization rate, pain, analgesic requirements and daily activities recovery in patients undergoing laparoscopic cholecystectomy with standard multiport access (CLMP) versus a minilaparoscopic, 3mm size, technique.MethodsProspective randomized trial of 40 consecutive patients undergoing laparoscopic cholecystectomy. Comparison criteria included predictive ultrasound factors of difficult cholecystectomy, previous history of complicated biliary disease and demographics. Results are analyzed in terms of ambulatorization rate, pain, analgesic requirements, postoperative recovery, technical difficulty, hemorrhage intensity, overnight stay, readmission rate and total or partial conversion.ResultsBoth procedures were similar in surgery time, technical score and hemorrhage score. MLC was associated with similar ambulatorization rate, 85%, and over-night stay 15%, with only 15% partial conversion rate. MLC showed less postoperative pain (P=.026), less analgesic consumption (P=.006) and similar DAR (P=.879).ConclusionsMLC is similar to CLMP in terms of ambulatorization with less postoperative pain and analgesic requirements without differences in postoperative recovery.Copyright © 2014 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

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