Comparative Analysis of Laparoscopic Cholecystectomy and Open Cholecystectomy in Elder Patients: A Retrospective Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 12
Abstract
expectancies together with a higher incidence of gallbladder stones increasing in conjunction with increasing age has resulted in a greater number of elderly patients being operated on today for symptomatic gall-bladder stones. Aim: To compare laparoscopic cholecystectomy and open cholecystectomy in elder patients. Materials and method: We retrospectively viewed the medical records of patients aged 65 years or more with acute cholecystitis who underwent Laparoscopic cholecystectomy (LC) and were compared patients who underwent open cholecystectomy (OC). A total of 40 patients (20 each for LC and OC) were selected. The analysis of preoperative, intra-operative, and postoperative parameters was done and was compared. Results: The Male/Female ratio in LC and OC group was 12/8 and 9/11 respectively. The mean age of patients in LC group was 72.1+2.8 years and in OC group was 69.5+3.9 years. The mean body weight of LC and OC group was 63.8+9.3 Kg and 66.8+4.3 kg respectively. The history of previous surgery was present in 6 patients in LC group and 4 patients in OC group. The ASA physical status score 2 was seen in majority of patients in both the groups. The mean operative time period for LC was 91.3 minutes and for OC was 93.8 minutes. Blood looss more than 500 mL was seen in 3 patient for LC and 2 patients for OC. The nasogastric tube was employed in 4 patients in LC and 7 patients in OC. The mean postoperative stay after completion of procedure was 7.6 days for LC and 8.31 for OC. Conclusion: Laparoscopic cholecystectomy is safer procedure in comparison to open cholecystectomy. The postoperative stay at hospital was shorter with Laparoscopic cholecystectomy. Keywords: Appendicitis, Cholecystectomy, Laparoscopy, Open surgery
Authors and Affiliations
Shashi Kumar Chaurasiya, Jagdish Kumar Mutreja
Keywords
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