Comparative Study of Laparoscopic Vs. Open Cholecystectomy in Patients at a Tertiary Care Hospital

Abstract

Background: Laparoscopic surgery has induced a tremendous revolution in the treatment of gallbladder disease. Laparoscopic cholecystectomy (LC) has become a popular alternative to open cholecystectomy (OC) in the treatment of acute cholecystitis (AC). Hence; the present study was conducted for comparing the effectiveness of Laparoscopic vs. Open Cholecystectomy. Materials & Methods: A total of 50 patients schedule to undergo laparoscopic cholecystectomy and 50 patients schedule to undergo open laparoscopic cholecystectomy were enrolled. Complete demographic and clinical details of all the patients were obtained. Patients with stones in the gallbladder proven by cholecystography and/or ultrasonography, at least one attack of severe upper abdominal pain and who were generally considered tit for elective cholecystectomy were included in the study. All the surgical procedures were performed under the hand of skilled and experienced surgeon. Follow-up details were receded and compared. All the results were recorded and analysed by SPSS software. Results: Mean operative time among the patients of the LC group was 86.3 minutes while that of OC group was 65.1 minutes. Significant results were obtained while comparing the mean operative time among the two study groups. Mean hospital stay among the patients of the LC group was 1.2 days while that of OC group was 3.8 days minutes. Significant results were obtained while comparing the mean hospital stay among the two study groups. Postoperative complications were seen in 5 patients of the LC group and 11 patients of the OC group. Conclusion: Laparoscopic cholecystectomy is a safe procedure for acute cholecystitis, resulting in fewer complications and shorter hospital stay than open cholecystectomy.