Open cholecystectomy versus laparoscopic cholecystectomy: a comparative study


AUTHORS : Kumar PC1 , Naseem Fraz2
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A gall bladder helps in fluid transport and its regulation. Objectives: The purpose of present study was to evaluate the safety and efficacy of laparoscopic cholecystectomy in comparison with open cholecystectomy. Material and methods: The present study comprised of 200 patients who underwent open and laparoscopic cholecystectomy. Result: The age and sex distribution of the whole series corresponds fairly well with the usual age and sex affection of gallbladder disease. Overall there was a female preponderance and the peak age group affected was 3 rdand 4thdecades. Most of the males affected were in the 4 thand 5thdecades of life. The most common indication for cholecystectomy was cholelithiasis followed by acutecalculous cholecystitis. Three cases were converted from laparoscopic to open cholecystectomy one due uncontrolled bleeding and two due to a large calculus in the cystic duct that could not be extracted. The mean operative time in laparoscopic group was 61.7 min compared to 108.1 minin open cholecystectomy groups. Laparoscopic group has intraoperative complications like minor bleedings, gall stone spillage and major bleeding in one case. There was no bile duct injury in laparoscopy group. Major complications like bile duct injury seen in only two cases of open cholecystectomy in our study, and liver bed bleeding and gall stone spillage. Open group had more complications like wound infections, chest infections. No mortality was seen in our study in both groups. Conclusion: The patients in the laparoscopic group had less pain, started oral intake earlier and were discharged earlier compared to open group. They were also able to resume their normal work sooner.

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