Vol. 1, Issue 1 (2015)
A randomized study of patients undergoing cholecystectomy either open or laparoscopic method
Author(s): Jatinkumar Bipinchandra Modi
Abstract: Background and Objectives: To compare the results of open with laparoscopic cholecystectomy regarding their operative time, postoperative parameters and morbidity Methods: A Retrospective chart review was conducted of 100 patients, which were randomized select patients undergoing cholecystectomy. The materials for the clinical study were collected from cases admitted in Smt. NHL Municipal Medical College and Smt SCL Hospital during the period from May 2011 to October 2013. Patients were belonged to any age groups. The cases were compared for operative time and various postoperative parameters in order to assess the advantages and disadvantages of each procedure. The patients were divided into three groups, group OC for open, group LC for laparoscopic cholecystectomy and group LC->OC for laparoscopic convert to open method. Results: Out of 100 patients, laparoscopy was the method used in 73 patients among whom 12 had to be converted to open surgery intra-operatively and 61 were completed by laparoscopy and 27 of the patients were offered open cholecystectomy primarily. The timing of operation to be completed post-induction of anesthesia was considerably longer in laparoscopy (average 1.9 hours) as compared to open surgeries (average 0.99 hours). Those converted from laparoscopy to open surgeries had significantly higher time (average 2.25 hours), which is explainable by maneuvers to correct the pathology both by laparoscopy and open methods. In post operative complication wound infection occurred 6% in open case (1% case included in which laparoscopic method convert to open) compare 0% in laparoscopic cases. Hospital stay was shorter in laparoscopic group (2-4 days) compare to open group (4-6 days). Conclusion: Laparoscopy continues to be the gold standard operative procedure for cholecystectomy, with 3/4th patients being primarily offered laparoscopy. The laparoscopic cholecystectomy is superior to open cholecystectomy due to short operative time, early mobilization and fast recovery, less postoperative pain and complications, short hospital stay and early return to work.
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