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
Related Articles
- EP ID EP475249
- DOI -
- Views 86
- Downloads 0
Correlation of Indirect Immunofluorescence & Line Immunoassay Method in Detection of Autoimmune Diseases: an Observational Study at a Tertiary Care Teaching Hospital
Abstract:Detection of antinuclear antibody (ANA) is one of the diagnostic criterias for autoimmune rheumatic diseases (ARD). Both indirect immunofluorescence (IIF) and line immunoassay (LIA)methods are useful for this p...
Corneal Keratometry Changes Post Pterygium Excision
Pterygium is a common disease which can cause annoying symptoms like redness, irritation and foreign body sensation. If large in size, it can lead to astigmatism. Excision of pterygium results in reduction in astigmatism...
The use of three dimensional hysterosonography in recurrent implantation failure prior to in vitro fertilization cycles
Abstract: Recurrent implantation failure can be due to endometrial cavity abnormalities or abnormal endometrial thickness, hysteroscopy and hysterosonography can be used to evaluate the presence of endometrial polyps, su...
Assessment of Plasma Malondialdehyde and Uric Acid among Sudanese Patients with Type- 2 Diabetes Mellitus in Khartoum State
Abstract: Diabetes mellitus (DM) describes a metabolic disorder of multiple etiology, which is characterized by chronic hyperglycemia, with disturbances of carbohydrate, fat and protein metabolism, which result from defe...
A Comparative Study of Activities of Daily Living (ADL) among Elderly Population Residing in Community Dwellings and Old Age Homes
Abstract: The population prevalence of older people has been growing worldwide. Quality of life among older people is a significant public health concern which primarily dependent on the activities of daily living. To co...