A PROSPECTIVE STUDY OF LAPAROSCOPIC CHOLECYSTECTOMY VERSUS OPEN CHOLECYSTECTOMY IN PATIENTS WITH CHOLECYSTITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 18
Abstract
BACKGROUND Cholelithiasis is one of the major causes of morbidity, particularly in females. Most of the cases of cholelithiasis are silent. Cholecystectomy is the choice of treatment in symptomatic cholelithiasis. With the introduction of laparoscopic cholecystectomy, it becomes prudent to verify the advantages over open cholecystectomy. METHODS A prospective study of 160 cases was carried out in the department of surgery in Heritage Institute of Medical Sciences, Varanasi, between January 2017 and June 2018 with the aim to compare open and laparoscopic cholecystectomy. The patients were randomly assigned into two groups. Group A consists of patients who underwent open cholecystectomy and Group B patients underwent laparoscopic cholecystectomy for cholelithiasis. RESULTS Mean duration of surgery was 72.4 min in open cholecystectomy and 44.7 min in laparoscopic cholecystectomy which is longer. Duration of post-operative pain relief was 18.3 hours in open cholecystectomy as compared to 1.8 days in laparoscopic cholecystectomy. CONCLUSIONS Laparoscopic cholecystectomy can be recommended as the first choice of operative procedure for patients with cholelithiasis as it involves shorter hospital stay, lesser postoperative pain and better cosmetic results.
Authors and Affiliations
Girish Pandey, Suresh S. Karlatif
Keywords
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- EP ID EP617021
- DOI 10.14260/jemds/2019/331
- Views 114
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