Outcome of open cholecystectomy and laparoscopic cholecystectomy- A comparative study

Authors

  • Yamuna V S Assistant Professor, Department of General Surgery, AIMS, BG Nagara, Nagamangala Taluk, India
  • Rahul R Raikar Assistant Professor, Department of General Surgery, AIMS, BG Nagar, Nagamangala Taluk, India
  • Sachin Kempegowda Assistant Professor, Department of General Surgery, AIMS, BG Nagar, Nagamangala Taluk, India

Keywords:

Outcome, Open Cholecystectomy, laparoscopic Cholecystectomy

Abstract

Background: Cholelithiasis, which continues to be one of the most common digestive disorders encountered, was traditionally being dealt by conventional or open cholecystectomy. With the introduction of laparoscopic cholecystectomy, the surgical community witnessed a revolution in basic ideology and the importance of minimal access surgery has suddenly impacted. Materials and Methods: 50 patients admitted at Adichunchanagiri institute of medical science with a diagnosis of calculous cholecystitis underwent open / laparoscopic cholecystectomy. 25patients constituted each group. Results: The duration of Laparoscopic cholecystectomy was significantly more than for open cholecystectomy (median 95 min in LC and 80 min in OC). One patients of laparoscopic group required conversion to open procedure. The drains were required in less number of patients of Laparoscopic cholecystectomy group and for less number of days. No Wound infection was seen in Laparoscopic cholecystectomy patient when compared to 5 in OC patients. The Visual Analogue Scale for pain in the post op period was significantly less for LC patients compared to OC patients (median 7 in OC group as compared to 4 in LC group) . The duration of hospital stay was significantly longer for OC group than for LC group (Mean of 7.84 days versus 3.68 days respectively). The cosmetic result was significantly better in LC group than OC group ( Mean cosmetic score of 4.72 in LC group and 3.44 in OC group. Median score was 5 for LC group and 3 for OC group). Conclusion: Laparoscopic cholecystectomy is Superior to Open cholecystectomy. Therefore, laparoscopic cholecystectomy is considered the “Gold Standard” procedure for cholecystectomy.

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Published

2022-01-17

How to Cite

Yamuna V S, Rahul R Raikar, & Sachin Kempegowda. (2022). Outcome of open cholecystectomy and laparoscopic cholecystectomy- A comparative study. International Journal of Health and Clinical Research, 5(2), 720–725. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/4808