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
Related Articles
- EP ID EP536618
- DOI 10.21276/ijmrp.2018.4.5.005
- Views 110
- Downloads 0
A Comparative Study Between Prostaglandin F2α and Methylergometrine In the Active Management of Third Stage of Labor
Introduction: The most serious complication in obstetric practice is post-partum haemorrhage (PPH) The greatest number of maternal deaths from haemorrhage is due to PPH, which is almost entirely a preventable condition P...
Prevalence of H. Pylori Infection in the Histopathological Spectrum of Gastric Lesions in Endoscopic Gastric Biopsies
Background: Upper gastrointestinal disorders are commonly seen in routine clinical practice. Most common gastric problems include acute and chronic gastritis, peptic ulcer, benign and malignant tumours. The endoscopic ex...
Anxiety and Heart Rate Variability in Adolescents
Background: Anxiety in adolescents is an emerging public health problem throughout the world and its prevalence has increased dramatically over the last decade in both developed and developing countries. The autonomic ne...
Role of Two Stage Urethroplasty in Modern Era with Special Reference to Impact on Sexual Health Function
Introduction: Urethral stricture is a prevalent problem throughout the globe. However, with improvement in surgical skill there is a shift towards single stage repair with substitution urethroplasty for long strictures....
Hospital Based Study of Spectrum of Clinical Profile and Outcome of Acute Viral Hepatitis E Infection in Adults: Tip of the Iceberg!
Introduction: Acute hepatitis E is an important cause of acute viral hepatitis (AVH) in adults throughout Asia. It is generally mild and self-limiting and resolves within six weeks. Pregnant women are at increased risk o...