DOI: http://dx.doi.org/10.18203/2349-2902.isj20210019

A comparative study to assess the post-operative complications between laparoscopic cholecystectomy versus open cholecystectomy

Anurag Salwan, Rana R. Singh, Darpan Bansal

Abstract


Background: Cholelithiasis is a common problem these days. Earlier it was considered the health problem of the female only. But now it is quite common in the males also. The prevalence of gallbladder stone disease (GBSD) in female to male is 3:1 in 18-65 years age group. In the developed countries GBSD is common and occur in 7% in male and 15% in female with an overall prevalence of 11%. Cholecystectomy is one of the most common operation carried out in general surgery.

Methods: Our study was conducted on 60 patients divided in 2 groups of 30 each to compare post-operative complications between laparoscopic cholecystectomy and open cholecystectomy.

Results: As per findings of the present study duration of pain, rate of complications and total hospital stay were significantly lower in laparoscopic group. There was early removal of drainage tube, early stitch removal in laparoscopic group.

Conclusions: Laparoscopic cholecystectomy can be recommended as first choice operative treatment for patients with cholelithiasis as it provides better cosmetic results, lesser pain, early removal of drainage tube, lesser post-operative hospital stay and fewer incidence of surgical site infection. It should be an available option for all patients requiring elective cholecystectomy.


Keywords


Laparoscopic cholecystectomy, Open cholecystectomy, Gallbladder stone disease

Full Text:

PDF

References


Collier JD, Webster G. Liver & Billiary Disease, Davidson's Principles & Practice of Medicine, 21st ed. 2010;977-80.

Harrison's Principles of Internal Medicine, 2011, Diseases of Gall Bladder & Bile Duct. 17th ed. 2011;II:1996-9.

Saldinger PF, Marin OB. Natural history of gall stones & asymptomatic gall stones. In: Jarnagin WR, Allen PJ, Chapman WC, editors. Blumgart’s Surgery of the Liver, Biliary tract and Pancreas. 6th ed. Philadelphia: Elsevier. 2017;551.

Gangji A, Porwal M, Gupta A, Chauhan A. Comparative Study between Laparoscopic and Open Cholecystectomy in respect of Postoperative Recovery and Hospital Stay. JEMDS. 2014;3(5):1089-96.

Bhar A, Karmakar S. A comparative study of open cholecystectomy versus laparoscopic cholecystectomy- a hospital based study. J Evid Based Med Healthc. 2020;7(25):1193-7.

Kumar M, Chaudhary P, Kumar A, Kumar M. Laparoscopic Versus Mini-Laparotomy Cholecystectomy – A Comparative Study. Sch J App Med Sci. 2015;3(8C):2954-9.

Altaf K, Hussain T, Mahmood MA, Khan SA, Iqbal MAS, Leghari AA, et al. Comparative study of conventional open versus laparoscopic cholecystectomy for symptomatic cholelithiasis. Pak J Med Sci. 2011;27(1):33-7.

Singh P, Gupta SK, Kumar M. A comparative study of open cholecystectomy and laparoscopic cholecystectomy in patients with cholelithiasis. Int Surg J. 2018;5:253-6.

Selmani R, Karagjozov A, Stefanovska V. Conversions in laparoscopic cholecystectomy in acute versus chronic cholecystitis. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2013;34(2):43-50.

Ahmed S, Iqbal T, Abdullah MS, A comparative study of open cholecystectomy and laparoscopic cholecystectomy in patients with cholelithiasis, Pak J Med Health Sci. 2014;8(2):383-8.

Doke A, Gadekar N, Gadekar J, Dash N, Unawane S. A comparative study between open versus laparoscopic cholecystectomy. Sch J App Med Sci. 2016;4(1A):57-61.