Journal of AdvancedMedical and Dental Sciences Research

Background: The incidence of gallstones is 10-15% and the lifetime recurrence rate of symptoms or complications in such patients is about 35%.In situations when LC is unsafe the surgeon might have to convert to an open procedure. The risk of conversion is higher in LC for acute cholecystitis than it is in an elective procedure.Aim of the study: To compare Laparoscopic cholecystectomy and Open cholecystectomy in acute cholecystitis.Materials and methods: The present study was conducted in the Department of General Surgery of the medical institute. For the study, we retrospectively viewed the medical records of patients aged 30-65 years with acute cholecystitis who underwent Laparoscopic cholecystectomy (LC) and were compared patients who underwent open cholecystectomy (OC). A total of 100patients (50 each for LC and OC) were selected for the study. The analysis of preoperative, intra-operative, and postoperative parameters was done and was compared. Results: A total of 100 patients were included in the study. Out of 100 patients, 50 patients underwent Laparascopic cholecystectomy and 50 underwent open cholecystectomy. The mean operative time period for LC was 70.9 minutes and for OC was 93.6 minutes. Blood loss more than 500 mL was seen in 5 patients for LC and 8 patients for OC. The nasogastric tube was employed in 9 patients in LC and 16 patients in OC. The mean postoperative stay after completion of procedure was 7.13 days for LC and 10.32 for OC. Conclusion: In conclusion, Laparoscopic cholecystectomy is safer procedure as compared to open cholecystectomy in patients with acute cholecystitis. Key words: Acute cholecystitis, Chronic cholecystitis, laparoscopic cholecystectomy, open cholecystectomy.