Comparative evaluation of open Vs. Laparoscopic cholecystectomy in Gall Stone Management: A Hospital Based study

Dr. Bharat Pratap Singh; Dr. Naveen Kumar Singh

Volume : IX, Issue : III, March - 2019

Comparative evaluation of open Vs. Laparoscopic cholecystectomy in Gall Stone Management: A Hospital Based study

Dr. Bharat Pratap Singh, Dr. Naveen Kumar Singh

Abstract :

Background: Gallstones are common in Indian population and its treatment has shown a decisive shift from open to laparoscopic route. There is no doubt that laparoscopy require longer and steeper learning curve and incur higher cost. However, preferences of patients are changing rapidly due to better level of awareness and availability of healthcare facility. Aim and objective: To compare open cholecystectomy and Laparoscopic cholecystectomy in view of duration of surgery, post–operative hospital stays and post operative complication. Material and Method: Present study was conducted on adults of 25 years to 65 years operated at a teaching hospital. They were divided into open and laparoscopic cholecystectomy group by draw by lottery method. Patient’s written valid informed consent for the particular procedure was taken and the pros and cons of both the procedure were explained in detail to the patient. This study was done after due clearance of Ethical committee. Results: The median (range) operation time for laparoscopic cholecystectomy was 30–180 min (mean=82.64 min) and 20–60 min (mean=32.64 min) for open cholecystectomy (p<0.001). During the study period operation time for laparoscopic cholecystectomy showed a tendency to become longer. The use of Injectable analgesics in case of laparoscopic cholecystectomy is considerably less than open cholecystectomy. Conclusion: laparoscopic cholecystectomy is better than open cholecystectomy in terms of post–operative pain, analgesic requirement and early return to work. However, open cholecystectomy is preferred method for Surgeons in the beginning of their career and in case of difficult cholecystectomy.