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New Technologies

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Laparoscopic Cholecystectomy

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Abstract

The evolution towards mini-invasiveness in surgery has opened new strategies in the way of performing laparoscopic cholecystectomy (LC), which have recently gained attention. Cholecystectomy has often been the field for the initial application of new technologies, since it remains the most common operation in abdominal surgery, mostly performed in the elective setting. Still, even if nowadays laparoscopic cholecystectomy is considered the “gold standard” since 1992, its indubitable advantages are still burdened by a slight but significant rise in the rate of major biliary injuries, which is certified around 0.42 % [1], which consists of a two- to fourfold rise in the rate reported in the literature for open cholecystectomy. Major concerns regarding the widespread of new technologies in LC should consider these data, and the university, the scientific societies, and the health providers should ascertain the safety issues before considering a new surgical operation to be done outside clinical trials. This concept has not always been fulfilled, and some of the operations that we consider in this chapter have gained spread between surgeons, mostly due to a strong pressure by the industry of new surgical devices and instruments [2]. Also, reports on cost-effectiveness should be part of a surgical health policy, and the relatively few papers and health technology assessment reports on the subject are not the most cited references when analyzing a new technology [3].

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Author information

Authors and Affiliations

  1. Laparoscopic Surgery Unit, M. Mellini Hospital, V.le Mazzini 4, Chiari, 25032, Italy

    Nereo Vettoretto

  2. General Surgery Unit, Santo Stefano Hospital, Via Suor Niccolina 20, Prato, 59100, Italy

    Francesco Feroci

  3. Department of General, Robotic and Minimal Invasive Surgery, San Francesco Hospital, Via Mannironi 1, Nuoro, 08100, Italy

    Federico Perna

  4. Department of General Surgery, Azienda Ospedaliera per l’Emergenza Cannizzaro, Via Messina 829, Catania, 95100, Italy

    Salvatore Vadalà

  5. Department of General Surgery, Ospedale Unico Avola-Noto PO “G. Di Maria”, Contrada Chiusa di Carlo SS115, Avola, 96012, Italy

    Cristina Virzì

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  1. Nereo Vettoretto
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  2. Francesco Feroci
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  3. Federico Perna
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  4. Salvatore Vadalà
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  5. Cristina Virzì
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Correspondence to Nereo Vettoretto .

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Editors and Affiliations

  1. Department of General Surgery, ULSS19 del Veneto, ADRIA, Rovigo, Italy

    Ferdinando Agresta

  2. Division of General Surgery, Hospital S.Giovanni Decollato Andosilla, Civita Castellana, Viterbo, Italy

    Fabio Cesare Campanile

  3. Unit of Laparoscopic Surgery, Hospital Mellino Mellini, Chiari, Brescia, Italy

    Nereo Vettoretto

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Vettoretto, N., Feroci, F., Perna, F., Vadalà, S., Virzì, C. (2014). New Technologies. In: Agresta, F., Campanile, F., Vettoretto, N. (eds) Laparoscopic Cholecystectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-05407-0_8

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  • DOI: https://doi.org/10.1007/978-3-319-05407-0_8

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