Comparison Of Open Cholecystectomy And Laparoscopic Cholecystectomy

Abstract

Background: The incidence of gallstones is one of the most important causes of morbidity in the world. The present study was conducted to compare open cholecystectomy (OC) and laparoscopic cholecystectomy (LC).
Materials & Methods: 50 patients of acute cholecystitis of both genders were divided into 2 groups of 25 each. Group I patients were of OC and group II were of LC. Parameters such as history of jaundice, blood loss, pain on VAS, duration of operation, complications, hospital length of stay, were recorded.
Results: Group I had 14 males and 11 and group II had 12 males and 13 females. The mean duration of surgery was 65.3minutes in group I and 83.2minutes in group II. Blood loss >100 ml was seen in 4 in group I and 11 in group II. Time to oral feed was 19hours in group I and 10hours in group II. The mean hospital stay (days) 5.2 in group I and 3.1 in group II. Pain on VAS was 3.6 in group I and 2.4 in group II. The difference was significant (P< 0.05). Complications in group I and group II were bleedingin 5 and 2, jaundice in 3 and 1, infection in 8 and 3, nausea in 12 and 7 and vomiting/ hernia in 15 and 6 respectively. The difference was significant (P< 0.05).
Conclusion: Laparoscopic cholecystectomy found to be effective in management of patients with gall stones. There were less post- operative complications as compared to open cholecystectomy.