Laparoscopic vs. Open Cholecystectomy in a Peripheral Teaching Hospital: A Retrospective Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Objectives: To study the technique of laparoscopic cholecystectomy, to study common difficulties encountered in lap cholecystectomy, to evaluate the common complications of lap cholecystectomy, duration of intra venous treatment, removal of drain, and the measures to improve the result of laparoscopic cholecystectomy in our institute. Methods: This study was conducted on 150 patients of symptomatic cholelithiasis requiring elective surgery, attending the surgical OPD in Rama Medical College Hapur, from Jan 2017 to Jan 2018. We involve patients of all ages and both sexes. We excluded individuals having jaundice, acute cholecystitis, abnormal LFT or patients of choledocholithiasis. Results: Peak incidence of gall stone disease in my study was in the 4th decade (36%) followed by 3rd and 5th decade (15% and 17%). In present study, the majority of the cases were females, with male to female ratio of 1:7. The duration of the procedure was 57.2 and 71minutes, respectively, with no significant difference between OC and LC. Drain was placed in 35 patients out of 100 successful laparoscopic cholecystectomies. Patients undergoing lap cholecystectomies had shorter hospital stays (2.01 versus 2.95 days, p=0.0001). Conclusion: It is evident that laparoscopic cholecystectomy is certainly better than open cholecystectomy while it did not differ much from open cholecystectomy regarding mortality, major complications and bile duct injuries. The advantages of laparoscopic cholecystectomy over open cholecystectomy are less postoperative pain, less operative time, less duration of intravenous antibiotic use, lesser incidence of wound infection, shorter hospital stay and earlier return to normal activity.
Authors and Affiliations
Veer Kavita, Rajiv Verma
Keywords
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- EP ID EP536618
- DOI 10.21276/ijmrp.2018.4.5.005
- Views 102
- Downloads 0
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