European Journal of Biomedical and Pharmaceutical Sciences

COMPARATIVE STUDY OF OPEN VERSUS LAPAROSCOPIC CHOLECYSTECTOMY AT AVBRH

Dr. Akshay Harish Baheti*, Dr. Kiran S. Kher and Dr. Raju K. Shinde

ABSTRACT

Laparoscopic cholecystectomy is the gold standard for cholecystectomy replacing decades old open cholecystectomy. This study compared open cholecystectomy and laparoscopic cholecystectomy in a medical college in rural setup consisting of 60 patients with a diagnosis of calculus cholecystitis, that underwent Cholecystectomy at Jawaharlal Nehru Medical College and Acharya Vinobha Bhave Rural Hospital from October 2015 T0 September 2017. Aim: To To study the advantages of laparoscopic versus open cholecystectomy. Objectives: 1. To compare the operative time of surgery in open and laparoscopic Cholecystectomy. 2. To compare intraoperative and postoperative complications of both surgical procedures 3. To compare post operative pain in both surgical procedures 4. To compare duration of post operative hospital stay in both surgical procedures. Materials and Methods: All patients undergoing cholecystectomy either by open approach or by laparoscopic approach admitted in the AVBRH of JNMC were Included in the study. Patients of carcinoma gall bladder, patients in whom cholecystectomy is a part of another surgical procedure were excluded from the study. Type of Study: observational study. Sample size:-60 cases 30 patients in each group (Open Cholecystectomy and Laparoscopic Cholecystectomy). Result: Mean duration of Surgery: Open (81.50±16.72 min), Laparoscopy (101.66±35.99 min). Mean post operative pain (VAS): Open (5.9 ± 1.18), Laparoscopic (3.83 ± 0.78). Complications: Open cholecystectomy- 33.33% (10 patients), laparoscopic cholecystectomy-13.33% (4 patients). Mean post of hospital stay: Open (9.16 ± 3.54 days), Laparoscopy (3.56 ± 1.47 days). Conversation rate of Laparoscopic to Open cholecystectomy is 21.05%. Conclusion: laparoscopic cholecystectomy is associated with low complication rates, confers an advantage of less post operative pain and shorter hospital stay as compared to the open procedure. The only disadvantage of the Laparoscopic Cholecystectomy is longer duration of operating time. Conversion to open cholecystectomy should be done in proper time and conversion in such case reflects sound judgment and is not be considered as a complication.

Keywords: Calculus cholecystitis, Complications, Conversion, Laparoscopic cholecystectomy, Open cholecystectomy.