One such patient, a 35-year-old woman experiencing recurrent upper abdominal pain due to gallstones, recently underwent mini laparoscopic gallbladder surgery using the 5-5-2-2 approach at Sir Ganga Ram Hospital. Like many patients scheduled for surgery, she was concerned about postoperative discomfort, visible scars and the time needed to resume her daily routine.
According to Prof. Dr. Tarun Mittal, Vice Chairman and Head of Unit, Department of Laparoscopic, Laser and General Surgery at Sir Ganga Ram Hospital, “The procedure represents an important advancement in minimally invasive surgery. Instead of the conventional port configuration, the procedure was performed using two 5 mm ports and two ultra-fine 2 mm ports. The smaller incisions were designed to minimise tissue trauma while allowing safe removal of the gallbladder using specialised mini-laparoscopic instruments.”
The patient recovered well after surgery. She was able to walk within a few hours of the procedure, required minimal pain medication and was discharged early. Within a few days, she resumed light daily activities and gradually returned to her normal routine. At her follow-up visit, the surgical marks were barely visible.
According to surgeons, reducing the size of surgical ports can help lessen postoperative pain, decrease the need for painkillers and improve cosmetic outcomes. However, they emphasise that the technique is suitable only for carefully selected patients, and the choice of procedure depends on factors such as the severity of gallbladder disease, inflammation and the patient's overall health.
The surgery was performed by a team comprising Dr. Tarun Mittal, Dr. Ashish Dey, Dr. Anmol Ahuja, and Dr. Shresth Manglik
Mini laparoscopic cholecystectomy using the 5-5-2-2 technique offers several potential advantages, including:
- Less postoperative pain
- Smaller and less noticeable scars
- Reduced need for pain medication
- Faster recovery
- Earlier discharge from hospital
- Quicker return to work and routine activities
Surgeons also note that while robotic-assisted gallbladder surgery has become increasingly available, it generally requires larger ports than mini laparoscopy and may involve higher treatment costs. For selected patients with uncomplicated gallbladder disease, mini laparoscopic surgery can provide a less invasive alternative with comparable surgical outcomes. However, more complex cases may still require conventional laparoscopic techniques to ensure optimal safety.
As minimally invasive surgery continues to evolve, the emphasis is increasingly on improving patient comfort, shortening recovery time and achieving better functional and cosmetic outcomes without compromising the effectiveness of treatment.
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