A Retrospective Comparative Analytical Study Between Open And Laparoscopic Cholecystectomy

  • Siladri Sengupta
Keywords: Cholelithiasis, Laparoscopic Cholecystectomy, open Cholecystectomy

Abstract

Aim and Background: Gall stone disease is prevalent in Indian scenario, and with introduction of Laparoscopic Surgery in surgical domain, there is a change in preference of patients for Laparoscopic Cholecystectomy. This study aimed to analyze conventional cholecystectomy and laparoscopic cholecystectomy concerning selection of patients, operative difficulties, duration of surgery, operative complications, postoperative analgesia, postoperative hospital stay, morbidity and mortality, and lastly, patients feedback after surgery. Methodology: Patients were admitted through SOPD, thoroughly assessed by necessary investigations and PAC fitness, valid informed consent for particular procedure was obtained after pros and cons of said procedure were explained in details to patients and their party. Results: We found more female patients. It is also observed that in operation time for Laparoscopic Cholecystectomy was significantly less than Open cholecystectomy procedure. Most important observation of this study is that duration of postoperative pain and analgesia required was considerably less in Laparoscopic cholecystectomy group than open cholecystectomy. Duration of hospital stay of patients who underwent Laparoscopic surgery had a hospital stay of fewer than four days, while those who underwent open surgery had more than seven days of holiday. Also found that 1% of patients who underwent open cholecystectomy had bleeding and 8 % with wound infection. Whereas in Laparoscopic surgery, complication rate was found to be 3 % for bleeding, which was minimal and 3 % for wound infection. Conversion rate in Literature in Laparoscopic Cholecystectomy ranges from 3% to 15% in well-trained hands. Conclusion: Laparoscopic Cholecystectomy were reduced postoperative pain and less analgesic intake, reduced hospital stay, fewer wound complications, rapid recovery, and early return to normal work. Open Cholecystectomy is preferred method in case of difficult cholecystectomy.

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How to Cite
Siladri Sengupta. (2021). A Retrospective Comparative Analytical Study Between Open And Laparoscopic Cholecystectomy. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 7(5), 100-107. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/248
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Original Article