Emergency Minilaparotomy Cholecystectomy for Acute Cholecystitis: Prospective Randomized Trial—Implications for the Laparoscopic Era

p= 0.82), operative difficulty on a 1 to 10 scale (5.2 ± 1.5 versus 4.6 ± 1.6, respectively; p= 0.177), and complication rate (11% and 17%, respectively; p= 0.19). Significantly lower analgesia requirements were noted in the MC group: 27.5 ± 14.6 mg of morphine sulfate compared to 44.5 ± 13.2 mg in the CC group (p < 0.001). In addition, the duration of hospital stay was significantly shorter for MC patients (3.1 ± 1.0 days) than in CC patients (4.7 ± 1.2 days) (p < 0.001). Twenty-two patients (73.3%) in the MC group were reported to return to normal daily activities 2 weeks after the operation, compared to only 12 (40%) in the CC group (p= 0.0028). MC is safe and applicable as an emergency procedure for acute cholecystitis. It is superior to CC in terms of convalescence and cosmesis. The results of MC in the setting of acute cholecystitis compare favorably with the published results of laparoscopic cholecystectomy.