ライフサイエンスコーパス: laparoscopy

1 claims to be less invasive than conventional laparoscopy.

2 However, operative time was longer during laparoscopy.

3 e umbilical incision and 93 via conventional laparoscopy.

4 endicitis while falling behind in the use of laparoscopy.

5 elatively cheap, and more broadly applied in laparoscopy.

6 formed by surgeons who are highly skilled in laparoscopy.

7 elines do not adequately assess the risks of laparoscopy.

8 undergoing SILC were converted to multiport laparoscopy.

9 and outcomes at least equivalent to standard laparoscopy.

10 res previously felt unfeasible with standard laparoscopy.

11 24 hours, and was 54% lower (P = 0.02) after laparoscopy.

12 l steps easier as compared with conventional laparoscopy.

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

14 cacy, but fewer children with retching after laparoscopy.

15 d comparing morbidity outcomes with standard laparoscopy.

16 n surgery has shown only slight benefits for laparoscopy.

17 corporeal suturing compared with traditional laparoscopy.

18 tically anchored instruments for trocar-less laparoscopy.

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

20 toneum in morbidly obese subjects undergoing laparoscopy.

21 ncluded endoscopic ultrasonography (EUS) and laparoscopy.

22 somewhat slow to develop compared with adult laparoscopy.

23 advances to achieve precise visualization in laparoscopy.

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

25 $2350 following open surgery and $970 after laparoscopy.

26 evaluation of adnexal masses at the time of laparoscopy.

27 puted tomography, endoscopic ultrasound, and laparoscopy.

28 cted a potential advantage over conventional laparoscopy.

29 ant solitary liver cysts were considered for laparoscopy.

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

31 tion increases the risk of SBO compared with laparoscopy.

32 ort and treated by transanal TME assisted by laparoscopy.

33 f health care utilization days compared with laparoscopy.

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

35 to those recovered from patients undergoing 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 scular invasion was discovered frequently by laparoscopy (31%), whereas in ampullary/duodenal cancer

44 (196 vs 112; P = 0.005), and performed more laparoscopy (37.7% vs 27.2%; P < 0.001) than those with

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

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

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

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

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

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

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

52 One hundred fifty-seven patients underwent laparoscopy after conventional tumor staging; 89 were al

53 The rapidly advancing field of laparoscopy, aided by the development of more optically

54 Pure laparoscopy allows reducing PPCs in patients requiring m

55 Laparoscopy also substantially influenced the treatment

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

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

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

59 Laparoscopy and antiadhesion barriers have proven to red

60 Early referral for laparoscopy and appendicectomy is advocated.

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

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

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

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

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

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

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

68 Laparoscopy and hysteroscopy are reserved for women in w

69 tegy of computed tomography (CT) followed by laparoscopy and laparoscopic ultrasonography (US) had an

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

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

72 Recently, laparoscopy and percutaneous embolization have appeared

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

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

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

76 hin a fast track program as described in the LAparoscopy and/or FAst track multimodal management vers

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

78 ed since residency, postgraduate training in laparoscopy, and annual volume of laparoscopic cholecyst

79 vely reviewed by using key words laparotomy, laparoscopy, and complications.

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

81 ffer in effectiveness, but a strategy of CT, laparoscopy, and laparoscopic US would consistently resu

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

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

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

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

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

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

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

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

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

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

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

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

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

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

96 ar cholangiocarcinoma should undergo staging laparoscopy before surgical exploration.

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

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

99 There was no difference in the accuracy of laparoscopy between patients with gallbladder cancer and

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

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

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

103 associated with a shorter operation time for laparoscopy cholecystectomy.

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

105 40% increase in the risk of recurrence with laparoscopy compared with laparotomy.

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

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

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

109 We found that laparoscopy decreased complication rate independent of t

110 Laparoscopy decreased insulin levels to a greater extent

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

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

113 The utility of staging laparoscopy depends on diagnosis.

114 Laparoscopy detected the majority of patients with perit

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

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

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

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

119 All patients underwent staging laparoscopy followed by laparotomy if the tumor appeared

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

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

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

123 minilaparoscopes may allow reliable bedside laparoscopy for suspected diaphragmatic injuries.

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

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

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

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

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

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

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

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

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

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

134 7 +/- 1.7 mm, respectively; P = 0.05) in the laparoscopy group than in the transanal one.

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

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

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

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

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

140 ain 6 weeks postoperatively (P=0.004) in the laparoscopy group.

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

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

143 e total procedures, especially in endoscopy, laparoscopy, gynecology, genitourinary, and orthopedics.

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

145 Laparoscopy had fewer moderate to severe postoperative a

146 , whereas in cancer of the ampulla/duodenum, laparoscopy had no effect on clinical decisions.

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

148 However, laparoscopy has advantages over open pyloromyotomy, and

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

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

151 Laparoscopy has been associated with markedly reduced po

152 Hand-assisted laparoscopy has been successfully applied to various app

153 Staging laparoscopy has been used in a variety of peripancreatic

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

155 Laparoscopy has revolutionized much of gastrointestinal

156 Computed tomography, ultrasonography, and laparoscopy have been suggested for use in patients with

157 Laparoscopy identified unresectable disease in 35 of 100

158 Laparoscopy identifies the majority of patients with unr

159 cted for clinical observation and additional laparoscopy in 2.

160 The value of laparoscopy in appendicitis is not established.

161 Laparoscopy in children appears to have a similar compli

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

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

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

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

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

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

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

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

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

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

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

173 of Crohn disease, and the increasing use of laparoscopy in the management of inflammatory bowel dise

174 Laparoscopy in the obese can lead to systemic absorption

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

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

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

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

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

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

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

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

183 Laparoscopy independently decreased the risk of leak.

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

185 Laparoscopy is becoming the preferred approach for colec

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

187 The yield of laparoscopy is lower for hilar cholangiocarcinoma but ca

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

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

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

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

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

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

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

198 of computed tomography, ultrasonography, and laparoscopy, nor has the frequency of perforation decrea

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 been widely adopted, reports of therapeutic laparoscopy of the pancreas have been few and of limited

204 Transinguinal laparoscopy offers a safe and effective means of evaluat

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 cedures (endometrial sampling, hysteroscopy, laparoscopy, or hysterectomy).

215 al computed tomography (CT) scan, diagnostic laparoscopy, or thoracoscopy and angiography, play a cri

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

217 to identify critical anatomic structures in laparoscopy over a low-bandwidth connection via the Inte

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

219 advantages in terms of recovery provided by laparoscopy over standard open surgery have not been rig

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

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

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

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

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

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

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

227 Rates of laparoscopy, perforation, negative appendectomy, morbidi

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

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

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

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

232 Diagnostic laparoscopy produced significantly more mean QALYs per p

233 Laparoscopy provides distinct advantages over traditiona

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

235 received definitive treatment at the time of laparoscopy (pseudocyst debridement, ovarian cyst excisi

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

237 Conclusion Diagnostic laparoscopy reduced the number of futile laparotomies in

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

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

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

241 Laparoscopy results in better overall preservation of im

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

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

244 Staging laparoscopy should be considered to detect occult metast

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

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

247 Laparoscopy should be used cautiously in patients with a

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

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

250 Initial diagnostic laparoscopy showing Hinchey III was followed by randomiz

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

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

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

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

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

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

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

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

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

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

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

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

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

264 tumor deposits unrecognized by conventional laparoscopy/thoracoscopy.

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

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

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

268 Conversion from laparoscopy to laparotomy was secondary to poor visibili

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

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

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

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

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

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

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

276 Trocar-less laparoscopy using magnetically anchored instruments is f

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

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

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

280 trial cancer undergoing surgical staging via laparoscopy versus laparotomy.

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

282 The yield of laparoscopy was 48% in patients with gallbladder cancer

283 Laparoscopy was associated with a decreased risk of inci

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

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

286 table hilar cholangiocarcinoma, the yield of laparoscopy was greater, 36% (12/33, T2/T3 tumors) versu

287 Laparoscopy was initiated in 1,682 patients and complete

288 Laparoscopy was more frequently performed in the 10-year

289 Laparoscopy was performed for patients with computed tom

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

291 Laparoscopy was used to guide selection of primary treat

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

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

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

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