E-ISSN 2534-9821
 

Original Article 


Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases)

Ketan Vagholkar, Siddharth Nachane, Suvarna Vagholkar.

Abstract
Background: Laparoscopic cholecystectomy is a new alternative to the traditional open approach for treating calculous cholecystitis. It is therefore necessary to assess the efficacy of laparoscopic cholecystectomy over the open cholecystectomy.
Objectives: To compare the surgical outcomes of laparoscopic cholecystectomy with those of open cholecystectomy.
Materials and methods: 50 patients diagnosed as symptomatic cholelithiasis proven by radiological investigations were distributed into two groups of 25 each. Group A patients were subjected to laparoscopic cholecystectomy and group B patients underwent open cholecystectomy. The surgical outcomes were studied prospectively. Intraoperative complications and post-operative care parameters were evaluated.
Results: Mean age of patients in group A was 46.6813.6 years and in group B was 42.6414.1 years. Majority of patients were in age group of 41 to 60 years. Patients who were diabetic in the group B developed wound infections whereas diabetic patients in the group A did not develop any infection. Significant bleeding necessitating blood transfusion occurred in one patient belonging to the group B. The duration of post-operative analgesia required was 3.16 days in group A and 5.16 days in group B. The duration of post-operative antibiotics administered in laparoscopic and open cases was 1.48 and 4.8 days respectively. One of the patients in group A developed post-operative biliary leak whereas none in group B had any such complication. The commencement of oral feeds and thereafter return of bowel movements was earlier in group A as compared to group B. The mean hospital stay was 4.5 days in group A as compared to 6.3 days in group B.
Conclusion: Laparoscopic cholecystectomy is superior to open cholecystectomy with regards to reduced post-operative discomfort and pain, antibiotic and analgesic requirement, early commencement of oral feeds, and shorter duration of hospitalization.

Key words: Laparoscopic, Open, Cholecystectomy, Complications, Comparison


 
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How to Cite this Article
Pubmed Style

Vagholkar K, Nachane S, Vagholkar S, . Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). Int J Med Rev Case Rep. 2021; 5(1): 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy


Web Style

Vagholkar K, Nachane S, Vagholkar S, . Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). http://www.mdpub.net/?mno=36076 [Access: March 22, 2021]. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy


AMA (American Medical Association) Style

Vagholkar K, Nachane S, Vagholkar S, . Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). Int J Med Rev Case Rep. 2021; 5(1): 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



Vancouver/ICMJE Style

Vagholkar K, Nachane S, Vagholkar S, . Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). Int J Med Rev Case Rep. (2021), [cited March 22, 2021]; 5(1): 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



Harvard Style

Vagholkar, K., Nachane, S., Vagholkar, S. & (2021) Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). Int J Med Rev Case Rep, 5 (1), 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



Turabian Style

Vagholkar, Ketan, Siddharth Nachane, Suvarna Vagholkar, and . 2021. Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). International Journal of Medical Reviews and Case Reports, 5 (1), 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



Chicago Style

Vagholkar, Ketan, Siddharth Nachane, Suvarna Vagholkar, and . "Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases)." International Journal of Medical Reviews and Case Reports 5 (2021), 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



MLA (The Modern Language Association) Style

Vagholkar, Ketan, Siddharth Nachane, Suvarna Vagholkar, and . "Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases)." International Journal of Medical Reviews and Case Reports 5.1 (2021), 189-198. Print. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy



APA (American Psychological Association) Style

Vagholkar, K., Nachane, S., Vagholkar, S. & (2021) Comparative study between laparoscopic and open cholecystectomy (Study of 50 cases). International Journal of Medical Reviews and Case Reports, 5 (1), 189-198. doi:10.5455/IJMRCR.Comparative-study-between-laparoscopic-and-open-cholecystectomy