A Comparative study of Laparoscopic Cholecystectomy and Open Cholecystectomy for the Management of Cholelithiasis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
The incidence of gallbladder stones is increasingly becoming common in adult patients in today's world due to fast changing of food habits. General surgeons often see such patients in surgery clinics; therefore, they must have complete knowledge regarding the disease and its management. We in the present study tried to evaluate the outcomes of the treatment of cholelithiasis by laparoscopic Cholecystectomy and open Cholecystectomy methods in different patients. Methods: The study was conducted in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Institutional Ethical committee permission was obtained for the study. A total number of 50 patients were included in the study. Based on the previous conditions and type of presentation (n=26) patients underwent open cholecystectomy and (n=24) underwent laparoscopic cholecystectomy. Results: pain was the commonest symptom presenting in 49 patients, 28 patients had nausea and vomiting, 7 patients had jaundice. Out of 26 patients who underwent open cholecystectomy, 17 patients were operated through a right subcostal incision, 8 patients were operated through a right paramedian incision and 1 patient through a right transverse incision. The operating room time for open cholecystectomy was 65 min and lap cholecystectomy was 115 min. 48 patients were reported has had chronic cholecystitis, 2 patients had acute cholecystitis and no case of malignancy was noted on histopathology examination. 1 patient had postoperative bile leak which was managed conservatively and the patient recovered. 2 patients had bile duct injury which was repaired on the T-tube. Conclusion: it can be concluded that Laparoscopic cholecystectomy is now becoming the choice of treatment for cholelithiasis because of advantages like minimal complications and minimal duration of postoperative stay in the hospital. However, this does mean that open cholecystectomy should not be undertaken whenever there is an indication for it.
Authors and Affiliations
Dr. Lanka Shivaramprasad
Keywords
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