ライフサイエンスコーパス: laparoscopy

1 m primarily following laparotomy rather than laparoscopy.

2 chest, abdomen, and pelvis; gastroscopy; and laparoscopy.

3 0.7% (34/56), and 5.3% (3/56) had a negative laparoscopy.

4 to those recovered from patients undergoing laparoscopy.

5 claims to be less invasive than conventional laparoscopy.

6 However, operative time was longer during laparoscopy.

7 e umbilical incision and 93 via conventional laparoscopy.

8 elatively cheap, and more broadly applied in laparoscopy.

9 formed by surgeons who are highly skilled in laparoscopy.

10 undergoing SILC were converted to multiport laparoscopy.

11 and outcomes at least equivalent to standard laparoscopy.

12 res previously felt unfeasible with standard laparoscopy.

13 24 hours, and was 54% lower (P = 0.02) after laparoscopy.

14 l steps easier as compared with conventional laparoscopy.

15 perative, but was 42% lower (P = 0.02) after laparoscopy.

16 cacy, but fewer children with retching after laparoscopy.

17 d comparing morbidity outcomes with standard laparoscopy.

18 n surgery has shown only slight benefits for laparoscopy.

19 corporeal suturing compared with traditional laparoscopy.

20 ed using CT, endoscopic ultrasound, PET, and laparoscopy.

21 tically anchored instruments for trocar-less laparoscopy.

22 erval of 4 months (range, 1-35 months) after laparoscopy.

23 toneum in morbidly obese subjects undergoing laparoscopy.

24 ncluded endoscopic ultrasonography (EUS) and laparoscopy.

25 somewhat slow to develop compared with adult laparoscopy.

26 advances to achieve precise visualization in laparoscopy.

27 aparotomy and 0.2% (3 of 1301 patients) with laparoscopy.

28 l emergency service were not associated with laparoscopy.

29 endicitis while falling behind in the use of laparoscopy.

30 elines do not adequately assess the risks of laparoscopy.

31 $2350 following open surgery and $970 after laparoscopy.

32 s can be cost-effective in selected cases of laparoscopy.

33 tion increases the risk of SBO compared with laparoscopy.

34 ort and treated by transanal TME assisted by laparoscopy.

35 f health care utilization days compared with laparoscopy.

36 ted with the apparent need for experience in laparoscopy?

37 proaches including percutaneous drainage and laparoscopy?

38 eted in 8 (8.42%) patients: 6 conversions to laparoscopy, 1 conversion to open, and 1 aborted case.

39 ue scores were similar in both groups (mean: laparoscopy, 12.28; 95% CI, 11.37 to 13.19 v open surger

40 aroscopy; 99 laparotomy) and 350 deaths (229 laparoscopy; 121 laparotomy).

41 , 0.03-0.12; P = .04) and less likely to use laparoscopy (-16.9% difference; 95% CI, -26.1% to -7.6%;

42 n (SD) net and total payments were lower for laparoscopy ($23064 [$14558] and $24196 [$14507] vs $297

43 (196 vs 112; P = 0.005), and performed more laparoscopy (37.7% vs 27.2%; P < 0.001) than those with

44 shorter after laparoscopic surgery (median: laparoscopy, 5; interquartile range [IQR], 4 to 9 v open

45 than medium- or low-burden hospitals to use laparoscopy (51.6% vs 60.7% vs 71.9%; P < .001).

46 e in 30-day postoperative complication rate (laparoscopy, 51% vs transanal, 32%; P = 0.16), early rea

47 years, P = .91), were less likely to undergo laparoscopy (65.1% [1120 of 1720] vs 70.8% [944 of 1334]

48 omplications were significantly higher after laparoscopy (9% vs. 2%).

49 still alive, there were 309 recurrences (210 laparoscopy; 99 laparotomy) and 350 deaths (229 laparosc

50 emonstrated comparable long-term outcomes to laparoscopy, a shorter learning curve, subjective operat

51 Pure laparoscopy allows reducing PPCs in patients requiring m

52 , appear to provide effective ventilation in laparoscopy, although their ability to protect against a

53 timated 3-year recurrence rate of 11.4% with laparoscopy and 10.2% with laparotomy, or a difference o

54 ded, of whom 102 were assigned to diagnostic laparoscopy and 99 to primary surgery.

55 NIR imaging was performed during staging laparoscopy and after pancreas mobilization in situ and

56 Laparoscopy and antiadhesion barriers have proven to red

57 Early referral for laparoscopy and appendicectomy is advocated.

58 ced around the dorsal and ventral vagi using laparoscopy and connected to a dual-channel stimulator p

59 Staging also included a laparoscopy and endoscopic ultrasonography (EUS).

60 Technologic advances in both laparoscopy and endoscopy provide an opportunity to impr

61 Nineteen patients were randomized for laparoscopy and fast track care (LFT), 23 for laparoscop

62 olorectal cancer surgery are introduction of laparoscopy and FFT implementation.

63 with extensive carcinomatosis at the time of laparoscopy and had no surgical procedure.

64 uired before comparative studies to standard laparoscopy and hybrid techniques are appropriate.

65 Laparoscopy and hysteroscopy are reserved for women in w

66 trophic papulosis, Degos disease, endoscopy, laparoscopy and laparotomy.

67 were estimated to be 47.4% and 18.0% in the laparoscopy and open surgery groups, respectively.

68 n an open approach, the relationship between laparoscopy and organ space infection (OSI) is not as cl

69 We describe the current state of laparoscopy and robotic-assisted reconstructive urologic

70 aparoscopy and fast track care (LFT), 23 for laparoscopy and standard care (LS), 17 for open surgery

71 were sensitive to the accuracy of diagnostic laparoscopy and the probability that disease was unresec

72 all via OVID) were searched using the terms "laparoscopy" AND ("primary resection" OR "Hartmann proce

73 ally confirmed IH, 38 (16.6%) had a negative laparoscopy, and 110 (48.2%) had an alternate diagnosis.

74 with minimum expertise in liver surgery and laparoscopy, and can therefore probably provide an oncol

75 s have confirmed the safety of transinguinal laparoscopy, and demonstrated a high level of sensitivit

76 ed the terms pure laparoscopy, hand-assisted laparoscopy, and the hybrid technique to define laparosc

77 Local anesthetic use in gynecologic laparoscopy appears to improve postoperative pain contro

78 eteroscopy, percutaneous nephrolithotomy and laparoscopy are being employed in this group of patients

79 r modalities such as transobturator tape and laparoscopy are compared with it.

80 time was 8.6 months (or 12.1%) longer in the laparoscopy arm (P < 0.0001).

81 tly better QoL across many parameters in the laparoscopy arm at 6 weeks provides modest support for t

82 The emergence of transinguinal laparoscopy as an evaluative tool has changed the landsc

83 Several reports recommend laparoscopy as the gold standard for the evaluation and

84 ective open inguinal exploration and present laparoscopy as the most effective means of evaluation.

85 ted procedures were converted to open, but 2 laparoscopy-assisted (7%) were converted to open.

86 The oncologic outcomes of laparoscopy-assisted gastrectomy for the treatment of ga

87 copic, 32 hand-assisted laparoscopic, and 27 laparoscopy-assisted open (hybrid) resections.These MILR

88 uring pneumoperitoneum and can contribute to laparoscopy-associated morbidity and mortality.

89 Intra-abdominal CO2 present during laparoscopy attenuates the acute phase inflammatory resp

90 erformed using the key words morbid obesity, laparoscopy, bariatric surgery, pneumoperitoneum, and ga

91 t of indeterminate necessity: (1) diagnostic laparoscopy before treatment; (2) a multidisciplinary ap

92 en continue to evolve, with robotic-assisted laparoscopy being perhaps the most significant new techn

93 ing stances on the use of energy devices and laparoscopy by different surgical governing bodies and s

94 A recent Cochrane review found diagnostic laparoscopy can decrease unnecessary laparotomy.

95 se To investigate whether initial diagnostic laparoscopy can prevent futile primary cytoreductive sur

96 Although laparoscopy can reduce adhesion formation, the effect of

97 vides the unique opportunity to test whether laparoscopy can reduce the morbidity of pancreas transpl

98 associated with a shorter operation time for laparoscopy cholecystectomy.

99 objective was to establish noninferiority of laparoscopy compared with laparotomy for recurrence afte

100 40% increase in the risk of recurrence with laparoscopy compared with laparotomy.

101 of abdomen, endocrine, head and neck, basic laparoscopy, complex laparoscopy, pediatrics, thoracic,

102 aging of this disease-endoscopic ultrasound, laparoscopy-continue to undergo evaluation.

103 my ( pound7470 versus pound7480); diagnostic laparoscopy costs ( pound995) were offset by avoiding un

104 We found that laparoscopy decreased complication rate independent of t

105 Laparoscopy decreased insulin levels to a greater extent

106 We found that laparoscopy decreased overall complications as well as i

107 hen controlled for probability of morbidity, laparoscopy decreases the rate of postoperative complica

108 ng computed tomography-pancreas angiography, laparoscopy, endoscopic ultrasonography, and fine-needle

109 s and in conjunction with techniques such as laparoscopy, endoscopy, and angiographic intervention.

110 ma management strategies such as laparotomy, laparoscopy, endoscopy, computed tomographic angiography

111 derly patients (>=65 years old) treated with laparoscopy experienced longer 3-year average life expec

112 data suggest that performance of diagnostic laparoscopy first is reasonable and that if cytoreductio

113 More recently, with the advent of laparoscopy for general surgery, various laparoscopic te

114 o be a feasible and effective alternative to laparoscopy for reconstructive procedures of the ureter

115 alternative surgical option to conventional laparoscopy for rectal resection and may represent a pro

116 se findings question the oncologic safety of laparoscopy for the treatment of rectal cancer.

117 The use of laparoscopy for treating diverticular disease, in the ab

118 took small cortical biopsies during routine laparoscopy from 24 women with normal ovaries and regula

119 Surgical time was higher in the laparoscopy group (252 +/- 50 minutes) than in the trans

120 on average 1.3 days longer than that in the laparoscopy group (geometric mean 5.5 days [range 2-19]

121 d to the open surgery group (n=51) or to the laparoscopy group (n=53).

122 ions were required in 2 (7%) patients in the laparoscopy group (percutaneous drainage) and in 9 (30%)

123 gery was required in 3 (10%) patients in the laparoscopy group and in 4 (13%) patients in the conserv

124 morbidity (10%) and one patient (10%) in the laparoscopy group experienced a grade 4 complication, ne

125 Patients in the laparoscopy group had 10% risk for bowel resection and 1

126 n surgery group and 16 (31%) patients in the laparoscopy group had postoperative complications (Clavi

127 , P = 0.006) were significantly lower in the laparoscopy group than in the open group.

128 early readmissions were more frequent in the laparoscopy group than in the transanal one (22% vs 6%,

129 7 +/- 1.7 mm, respectively; P = 0.05) in the laparoscopy group than in the transanal one.

130 occurred in 10 (10%) of 102 patients in the laparoscopy group versus 39 (39%) of 99 patients in the

131 days (interquartile range: 3-5 days) in the laparoscopy group versus 5 days (3-8) in the conservativ

132 e rate of uneventful recovery was 90% in the laparoscopy group versus 50% in the conservative group,

133 ses (49 in the open surgery group; 51 in the laparoscopy group).

134 In the laparoscopy group, 63 (62%) of 102 patients underwent PC

135 In the laparoscopy group, three (3%) of 102 patients underwent

136 patients with unplanned readmissions in the laparoscopy group: 1 (3%) versus 8 (27%), P = 0.026.

137 GIST smaller than 20 cm (N = 666), by either laparoscopy (group L, n = 282) or open surgery (group O,

138 Diagnostic laparoscopy had 63 to 66% probability of being cost-effe

139 Laparoscopy had fewer moderate to severe postoperative a

140 The consensus conference used the terms pure laparoscopy, hand-assisted laparoscopy, and the hybrid t

141 However, laparoscopy has advantages over open pyloromyotomy, and

142 We assess how laparoscopy has altered the presentation of patients wit

143 th its numerous advantages over conventional laparoscopy has assumed an ever-expanding role in pelvic

144 Laparoscopy has been associated with markedly reduced po

145 Laparoscopy has demonstrated a protective effect in colo

146 stes and the ever-progressing utilization of laparoscopy has led to the commonplace utilization of la

147 Laparoscopy has revolutionized much of gastrointestinal

148 nefits of robotic rectal cancer surgery over laparoscopy have yet to be demonstrated.

149 society guidelines advise against the use of laparoscopy; however, the evidence on this topic is scan

150 cted for clinical observation and additional laparoscopy in 2.

151 The value of laparoscopy in appendicitis is not established.

152 Laparoscopy in CD is associated with high rates of conve

153 Despite the increasing experience with laparoscopy in CD, one-fifth of selected cases still nee

154 Laparoscopy in children appears to have a similar compli

155 controlled trials have shown that the use of laparoscopy in colon resection for diverticular disease

156 Robotics can surpass laparoscopy in cost-effectiveness by achieving certain t

157 The role of diagnostic laparoscopy in cryptorchidism seems well established, al

158 Despite the increasingly frequent use of laparoscopy in living donor hepatectomy, the laparoscopi

159 Given the large benefits of laparoscopy in most gastrointestinal surgical procedures

160 idney tumors are unequivocal and the role of laparoscopy in nephron-sparing surgery is evolving.

161 This study analyzes a role of laparoscopy in obese patients with ventral hernia.

162 Despite the increasing role of laparoscopy in partial hepatic resection, its short-term

163 delayed IH diagnosis, emergency explorative laparoscopy in patients with a score >=2 should be consi

164 d and magnetic resonance imaging, the use of laparoscopy in the diagnosis and treatment of nonpalpabl

165 py has led to the commonplace utilization of laparoscopy in the diagnosis and treatment of these nonp

166 ive Program) to determine whether the use of laparoscopy in the elective treatment of diverticular di

167 cteristics except for a higher proportion of laparoscopy in the ERP group.

168 As a result the role of laparoscopy in the management of appendicitis in general

169 Laparoscopy in the obese can lead to systemic absorption

170 gard to recommendations regarding the use of laparoscopy in the setting of nonpalpable testes.

171 Furthermore, expanding the role of laparoscopy in the treatment of older patients with colo

172 nsplantation was performed by robot-assisted laparoscopy in three patients.

173 We evaluate the contemporary role of laparoscopy in treating adrenal malignancies.

174 shorter operative times and the benefits of laparoscopy, including reduced length of stay and quicke

175 From 2009 to 2012, the use of laparoscopy increased from 57.4% to 88.8% (P < .001).

176 copy the mean cost per patient of diagnostic laparoscopy increased to pound8224.

177 curred in a subsequent admission, diagnostic laparoscopy incurred similar mean costs per patient to d

178 Laparoscopy independently decreased the risk of leak.

179 Laparoscopy is associated with a significant and sustain

180 erous study findings suggest that the use of laparoscopy is associated with lower health care costs f

181 results can be interpreted to indicate that laparoscopy is at least not inferior to the standard ope

182 Laparoscopy is becoming the preferred approach for colec

183 sometimes require surgical intervention, and laparoscopy is increasingly the preferred approach for t

184 Laparoscopy is increasingly used for elective colorectal

185 of the performance metrics between 3D and 2D laparoscopy is mostly from the research with flawed stud

186 y, an open approach should be considered; if laparoscopy is selected, conversion to laparotomy can be

187 n malignant atrophic papulosis which suggest laparoscopy is the more powerful means of detecting gast

188 or patients with stage IA cancer treated via laparoscopy (laparoscopic group; 95.3%, open group: 90.3

189 Patients operated by laparoscopy, laparotomy, and converted to open were comp

190 osis was examined in 600 women who underwent laparoscopy/laparotomy (n = 473: operative cohort) or pe

191 e of distal pancreatectomy (DP) performed by laparoscopy (LapDP) or open surgery (OpenDP) for pancrea

192 Following explorative laparoscopy, locally advanced diffuse gastric cancer was

193 and caudate lobe resection and preoperative laparoscopy may improve survival.

194 y there is interest in exploring areas where laparoscopy might provide advantages over open surgery.

195 In conventional laparoscopy, multiple trocars are required because of th

196 ) yrs], through laparotomy (n = 157, 34%) or laparoscopy (n = 301, 66%).

197 A total of 204 patients (laparoscopy, n=103; open surgery, n=101) were recruited

198 vasive approach (videothoracoscopic surgery, laparoscopy, neck anastomosis [MIE-neck]) with our curre

199 Although laparoscopy now plays a major role in most general surgi

200 er of additional diagnostic tests (eg, CT or laparoscopy); number of follow-up scans; diagnostic accu

201 When laparotomy following diagnostic laparoscopy occurred in a subsequent admission, diagnost

202 ancer), when laparotomy following diagnostic laparoscopy occurs in a subsequent admission.

203 Transinguinal laparoscopy offers a safe and effective means of evaluat

204 We aimed to assess the impact of laparoscopy on adhesion-related readmissions in a popula

205 ere are conflicting data on the influence of laparoscopy on hospital costs, without separate analyses

206 Human data on the effects of laparoscopy on ICP are lacking.

207 However, the effect of increasing use of laparoscopy on overall health care utilization and costs

208 Less is known about the impact of laparoscopy on the risk for SSIs.

209 ohort of women 18-44 years of age undergoing laparoscopy or laparotomy at 14 participating clinical c

210 nificant improvement in outcomes over 'pure' laparoscopy or open procedures.

211 ng patients were randomly assigned to either laparoscopy or PCS.

212 minimally invasive procedures (eg, operative laparoscopy or ultrasonography-guided cyst aspiration);

213 s significantly decreases the utilization of laparoscopy (OR = 0.78 for age 80-89 years and 0.69 for

214 simulators exist for endoscopy, gynaecology, laparoscopy, orthopaedics, otolaryngology, robotics, and

215 Yet, the benefits of laparoscopy over laparotomy regarding PPCs remain unknow

216 spital characteristics predicting the use of laparoscopy overall, but teaching hospital status is not

217 y can extend the capabilities of traditional laparoscopy, particularly in regard to performing poster

218 By 6 months, except for better BI in laparoscopy patients (P < .001), the difference in QoL b

219 para-aortic nodes were not removed in 8% of laparoscopy patients and 4% of laparotomy patients (P <

220 In an intent-to-treat analysis, laparoscopy patients reported significantly higher Funct

221 (stage IIIA, IIIC, or IVB) was seen (17% of laparoscopy patients v 17% of laparotomy patients; P = .

222 e, head and neck, basic laparoscopy, complex laparoscopy, pediatrics, thoracic, and soft tissue/breas

223 Rates of laparoscopy, perforation, negative appendectomy, morbidi

224 d the use of keywords "3D," "Laparoscopic," "Laparoscopy," "Performance," "Education," "Learning," an

225 ger than 65 years accounted for 46.0% of the laparoscopies performed in the elective setting compared

226 Diagnostic laparoscopy prior to laparotomy in patients with CT-rese

227 ompared the cost-effectiveness of diagnostic laparoscopy prior to laparotomy versus direct laparotomy

228 Diagnostic laparoscopy produced significantly more mean QALYs per p

229 Laparoscopy provides distinct advantages over traditiona

230 ng may be performed under open exposure, but laparoscopy provides equivalent exposure with less morbi

231 section in all subgroups, savings because of laparoscopy ranged from &OV0556;409 (<75 years ASA I-II)

232 Conclusion Diagnostic laparoscopy reduced the number of futile laparotomies in

233 In multivariate analyses, laparoscopy reduced the risk of directly related readmis

234 While the use of laparoscopy reduced total episode payments, the source o

235 The estimated hazard ratio for laparoscopy relative to laparotomy was 1.14 (90% lower b

236 ic surgeons without significant expertise in laparoscopy required for sacral dissection and intracorp

237 otic colectomy costs $745 more per case than laparoscopy, resulting in an ICER of $2,322,715/QALY bec

238 Laparoscopy results in better overall preservation of im

239 Verification of sex via histology or laparoscopy revealed that this method was 100% reliable

240 Research on the use of laparoscopy, robot-assisted laparoscopy, the effect on p

241 s becoming apparent that for many conditions laparoscopy should be adopted as the standard of care.

242 Staging laparoscopy should be considered to detect occult metast

243 of laparoscopic approaches, we conclude that laparoscopy should be offered to all patients who lack a

244 Based on our experience, laparoscopy should be performed when there is a high ind

245 Laparoscopy should be used cautiously in patients with a

246 bility to provide therapeutic interventions, laparoscopy should be used in the evaluation and treatme

247 ndoscopy revealed only minimal changes while laparoscopy showed dramatic lesions.

248 Initial diagnostic laparoscopy showing Hinchey III was followed by randomiz

249 tritis and non-specific inflammation whereas laparoscopy shows white plaques with red borders on the

250 to the treatment of POP initially began with laparoscopy, something only those surgeons with extensiv

251 lled trial examining whether the benefits of laparoscopy still exist when open surgery is optimized w

252 s traditional approaches and procedures (ie, laparoscopy, strictureplasty).

253 dertaken in the same admission as diagnostic laparoscopy the mean cost per patient of diagnostic lapa

254 After laparoscopy, the costs impact ranges from $82 in expense

255 herapy, a growing experience in centers with laparoscopy, the effect of urinary diversion on quality

256 ch on the use of laparoscopy, robot-assisted laparoscopy, the effect on patient's health-related qual

257 Research continues on the use of laparoscopy, the effect on patient's health-related qual

258 Research on the use of laparoscopy, the effect on patients' health-related qual

259 cteristics may be associated with the use of laparoscopy, the influence of geography is poorly unders

260 In the era of laparoscopy, the overall use of laparoscopic VHR in obes

261 sculo-skeletal model for gesture analysis in laparoscopy, thereby providing a complete account of the

262 tumor deposits unrecognized by conventional laparoscopy/thoracoscopy.

263 er surgery was not explained by younger age, laparoscopy, time between the last 2 episodes preceding

264 iration (FNA) of suspicious lesions and mini-laparoscopy to establish the diagnosis of a beta-catenin

265 from laparoscopy to open laparotomy and from laparoscopy to hand-assisted approach occurred in 4.1% a

266 Conversion from laparoscopy to laparotomy was secondary to poor visibili

267 ty, hospital length of stay, conversion from laparoscopy to laparotomy, recurrence-free survival, sit

268 Conversion from laparoscopy to open laparotomy and from laparoscopy to h

269 thoracoabdominal injuries underwent elective laparoscopy to rule out diaphragmatic injury.

270 ed in 2.7%, one of which required diagnostic laparoscopy to rule out Veress needle injury to the gall

271 odest support for the QoL advantage of using laparoscopy to stage patients with early endometrial can

272 hernias is now accepted, the application of laparoscopy to unilateral primary inguinal hernias remai

273 ir application (e.g. surgical access such as laparoscopy, transection variants etc.).

274 Laparoscopy use doubled from 15.1% in 2010 to 30.2% in 2

275 Trocar-less laparoscopy using magnetically anchored instruments is f

276 The objective was to compare laparoscopy versus laparotomy for comprehensive surgical

277 more than 2 days was significantly lower in laparoscopy versus laparotomy patients (52% v 94%, respe

278 for increased risk of cancer recurrence with laparoscopy versus laparotomy was quantified and found t

279 trial cancer undergoing surgical staging via laparoscopy versus laparotomy.

280 nt approach, a modified Ivor Lewis approach (laparoscopy, videothoracoscopic surgery, chest anastomos

281 Laparoscopy was associated with a decreased risk of inci

282 The use of laparoscopy was associated with a lower risk of AL.

283 On multivariate analysis, laparoscopy was associated with a lower risk of incision

284 Laparoscopy was initiated in 1,682 patients and complete

285 Laparoscopy was less common in patients with poorer phys

286 Laparoscopy was more frequently performed in the 10-year

287 Laparoscopy was noninferior to open surgery for rectal c

288 Laparoscopy was performed for patients with computed tom

289 t an appendectomy for acute appendicitis and laparoscopy was used in 74.4% of these patients (n = 141

290 Laparoscopy was used to guide selection of primary treat

291 ditional port, hand-assisted, or robotic (R) laparoscopy were included in the analysis.

292 nors, 66 (94%) liver grafts were procured by laparoscopy, whereas 4 (6%) patients required conversion

293 been challenged by two new technologies: by laparoscopy, which has attempted to change the tradition

294 regnancy, and no obvious pelvic pathology at laparoscopy, which must have taken place at least 2 week

295 Patients were divided into 3 groups: laparoscopy with intraoperative ultrasound and biopsy on

296 ng evidence-based facts and oncologic rules: laparoscopy with pneumoperitoneum, low central venous pr

297 Bilateral LUNA or laparoscopy without pelvic denervation (no LUNA); partic

298 yspareunia, or quality of life compared with laparoscopy without pelvic denervation.

299 fferences during 3D and two-dimensional (2D) laparoscopy without using appropriate controls that equa

300 In the patients who are suitable for LA, laparoscopy yields better operative outcomes without imp