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Volume 7 Issue 6 (June, 2019)

Original Articles

Comparative analysis of Open Cholecystectomy and Laparoscopic Cholecystectomy
Vikas Gupta, Ajay Kumar

Background: Laparoscopic surgery has induced a tremendous revolution in the treatment of gallbladder disease. Surgery has been traditionally considered the last therapeutic resort for symptomatic cholelithiasis before the advent of laparoscopy, whereas lithotripsy and cholecystostomy have been commonly favored as less invasive alternatives.Aim of the study: To compare open cholecystectomy with laparoscopic cholecystectomy. Materials and methods: The present study was conducted in the Department of General Surgery of the medical institute. The study is a retrospective study, so past records of the Department were checked for patients who underwent cholecystectomy for acute cholecystitis at out department for the study period. It was made sure to include only those cases who had history of abdominal pain and tenderness at upper right quadrant showing clinical symptoms of acute cholecystitis. The diagnosis of acute cholecystitis was confirmed by reviewing the ultrasound in which signs of thickened gall bladder wall and pericholecystic fluid were evident.For the study, we randomly selected 30 cases each of laparoscopic cholecystectomy and open cholecystectomy and their records were compared on the basis of various post-operative parameters. Results: A total of 60 cases were included in the study. Out of 60 cases, 30 underwent Laparoscopic cholecystectomy and other 30 underwent open cholecystectomy. The surgical procedure for LC and OC were performed by experienced surgeons. The Male/Female ratio in Group 1 and 2 was 21/9 and 19/11 respectively. The mean age of patients in group 1 was 39.1+5.2 years and in group 2 was 41.2+5.1 years. The mean operative time period for group 1 was 60.12 minutes and for group 2 was 89.22 minutes. Blood loss more than 500 mL was seen in 3 patients for group 1 and 6 patients for group 2. The nasogastric tube was employed in 7 patients in group. 1 and 11 patients in group 2. The mean postoperative stay after completion of procedure was 5.19 days for group 1 and 8.81 for group 2. Conclusion: From the results of the present study, this can be concluded that open cholecystectomy and laparoscopic cholecystectomy are both effective for acute cholecystitis; however laparoscopic has lesser operative time, fewer complications and less post-operative stay at hospital which makes it better in certain prospective.
Key words: Cholecystectomy, laparoscopic, gall bladder, cholecystitis.

Received: 11 May, 2019                            Revised:  28 May 2019                             Accepted: 29 May 2019

Corresponding author: Dr. Ajay Kumar, Associate Professor, Department of General Surgery, Rajshree Medical Research Institute & Hospital Bareilly, Uttar Pradesh, India

This article may be cited as: Gupta V, Kumar A. Comparative analysis of Open Cholecystectomy and Laparoscopic Cholecystectomy. J Adv Med Dent Scie Res 2019;7(6): 31-34.

 
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