Differences In Length of Stay, Duration of Back to Activity And Level of Postoperative Pain In Patients Cholelitiasis Mini Laparotomi Cholecystectomy with Laparoscopic Cholecystectomy Atsaiful Anwar Hospital Malang
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background Cholecystectomy is a common procedure and its complications rarely cause of death. Currently, laparoscopic cholecystectomy is a minimally invasive surgical procedure and has become a standard hospital procedure compared to minilaparotomi cholecystectomy procedures.laparoscopic cholecystectomy (LC) has become gold standard for the surgicaltreatmentofcholelithiasis. Objectives To understanding the differences among length of stay, duration of back to activity, and level of postoperative pain in patient cholelitiasis by laparoscopic laparotomy cholecystectomy with laparoscopic cholecystectomy at Surgery Division of Saiful Anwar Hospital Malang. Methods This study was a prospective analytic observational study,aged ranging 20-65 years old with cholelitihiasis treated with laparoscopic cholecystectomy and mini-laparotomy cholecystectomy. Result Total of 67 patients, 33 patients entered the KL group and 34 patients entered the KM group. The results showed no difference in treatment duration (2 days vs 2 days) and mobility (1 day vs 1 day) in both groups. The duration of operation in the KM group (57.5 ± 5.3 min) was significantly shorter than the KL group (106.5 ± 11.8 min) (p = 0.000, Mann-Whitney test). Interestingly, the pain scale (VAS score) in the KM group (2.8 ± 0.74 ) Did not differ significantly with the KL group (2.5 ± 0.6) (p = 0.167; Mann-Whitney test). Conclusion Based on this study, there was no difference in length of stay, mobilization, and level of pain in the cholesterol patients treated with laparoscopic laparotomy mini cholecystectomy and laparoscopic cholecystectomy.
Authors and Affiliations
Sudibyoko H, Sugiharto S
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