Updates in Surgery

, Volume 70, Issue 4, pp 553–556 | Cite as

The protocol of low-impact laparoscopic cholecystectomy: the combination of mini-laparoscopy and low-pressure pneumoperitoneum

  • Nicola de’AngelisEmail author
  • Niccoló Petrucciani
  • Giusy Giannandrea
  • Francesco Brunetti
Technical Note


Low-impact laparoscopic (LIL) cholecystectomy is an innovative surgical protocol that combines the use of mini-laparoscopic instruments (3-mm ports) under a low- and stable-pressure pneumoperitoneum (8 mmHg), with the aim of minimizing the surgical invasiveness and the risks related to CO2 insufflation on the peritoneal environment. In day-surgery settings, LIL may contribute to increase the surgical success due to several potential benefits in terms of postoperative pain intensity and time to full recovery. In 14 consecutive patients requiring cholecystectomy for uncomplicated cholelithiasis, LIL was carried out uneventfully. No conversion, intra-operative or postoperative complications occurred. All patients were discharged the same day of surgery. Postoperative pain was well tolerated with no need of prolonged opioid therapy. Technical aspects and indications for LIL cholecystectomy are detailed.


Low-impact laparoscopy Mini-laparoscopy Cholecystectomy Day surgery Low-pressure pneumoperitoneum 


Author contributions

Study conception and design: NA and FB. Acquisition of the data: NA, NP, GG, and FB. Analysis and interpretation of data: NA, NP, and FB. Drafting of manuscript: NA and NP. Critical revision of manuscript: NA, NP, GG, and FB.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Research involving human participants and/or animals

The present manuscript is in compliant with ethical standard. This study does not involve any kind of animal related contacts or experiments by any of the listed authors.

Informed consent

All the patients included gave their informed consent.


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Copyright information

© Italian Society of Surgery (SIC) 2018

Authors and Affiliations

  1. 1.Department of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor HospitalAP-HP, University of Paris Est-UPECCréteilFrance

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