A Comparative Study of Laparoscopic vs. Open Cholecystectomy in a Northwestern Medical School of Bihar
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Gallstones are common in Indian population and its treatment has shown a decisive shift from open to minimally invasive route. Undoubtedly, laparoscopy requires longer and steeper learning curve and incurs higher cost. However, preferences of patients are changing rapidly due to better level of awareness and availability of healthcare facility. Aims: To compare laparoscopic Cholecystectomy vs. open Cholecystectomy in patients of cholelithiasis by measuring parameters such as use of Post-operative analgesia, Operative Time, Post-operative hospital stay, morbidity and mortality. Material and Method: It is a prospective randomized study of 300 Patients of cholelithiasis aged between 20 years to 70 years operated during 2013-2016 at Government Medical College, Bettiah & associated MJK hospital. They were divided into open and laparoscopic Cholecystectomy groups by drawing a lottery. Patient’s written valid informed consent for the particular procedure was taken and the advantages and disadvantages of both the operative procedure were explained in detail to the patients. Results: The median (range) operation time for laparoscopic cholecystectomy was 55-170 min (mean=105 min) and 38-92 min (mean=70 min) for open cholecystectomy (p<0.001). The use of parenteral analgesics in case of laparoscopic cholecystectomy (Mean no. of days=1.7) is considerably less than open cholecystectomy (Mean no. of days=3.7). Conversion rate in literature in laparoscopic cholecystectomy ranges from 3% to 15% in well trained hands. In our series it was 8 %. Conclusion: Laparoscopic cholecystectomy is better than open cholecystectomy in terms of post-operative pain, analgesic requirement and early return to work. However, open cholecystectomy is preferable for Surgeons in training and in cases of complicated cholecystectomy.
Authors and Affiliations
Dr Lalan Kumar
Keywords
Related Articles
- EP ID EP285556
- DOI -
- Views 51
- Downloads 0
Cerebral Encephalitis- A Rare CNS Complication of Scorpion Sting
Objectives- Scorpion envenomation is an important public health hazard in tropical and subtropical region. Envenomation by scorpion can result in a wide range of clinical effects including cardiotoxicity, respiratory dys...
Incidence and Risk factors of Retinopathy of Prematurity in Tertiary Care Centre of Western India
Aim: This study is aimed to estimate the incidence of retinopathy of prematurity and to identify the risk factors which predispose to retinopathy of prematurity. Material & Methods: The present prospective study was cond...
Study of Clinical Features and Management of Vernal Keratoconjunctivitis
Vernal Keratoconjunctivitis is a recurrent, bilateral interstitial inflammation of the conjunctiva, of periodic seasonal incidence, self limited character and unknown etiology. It is characterised by flat- topped papilla...
The Role of Ultrasound in the Assessment of Fetal Growth and Placental Maturation in Pregnancy Induced Hypertension
Aim: This study was undertaken to evaluate the role of grey scale and Doppler ultrasound in the assessment of fetal growth and placental maturation in pregnancy induced hypertension (PIH). Methods: Forty pregnant female...
Non Specific Vaginitis with Special Reference to Gardenerella Vaginalis and Its Antibiotic Susceptibility Pattern
Background: Vaginal discharge, the major sign of vaginitis is the common reason for which women consult a Gynecologist. About 9 out of 10 patients with this problem suffer from infections of vagina. A symbiotic relations...