A Comparative Study to Evaluate the Laparoscopic vs Open Surgery Cholecystectomy: A Prospective Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 10
Abstract
Background: Gallstones are common in Indian population and its treatment has shown a decisive shift from open to minimally invasive route. The studies published so far mention a high rate of complication and conversion in laparoscopic surgical treatment of acute cholecystitis. The study aimed to determine whether laparoscopic cholecystectomy can be recommended over open cholecystectomy as the procedure of choice for the treatment of cholecystitis with cholelithiasis. Methodology: In one surgical unit, 40 patients undergoing cholecystectomy were studied to compare patient recovery, subjective and objective pain experienced and complications after laparoscopic and open cholecystectomy. The data were collected prospectively where allocation to open or laparoscopic cholecystectomy was by consecutive attendance. Results: Comparison of two groups showed that intraoperative complications were more among laparoscopic surgery as compared to open surgery. Whereas post operative complications were reported higher among the open surgery cases .On comparing both the groups the comparison was although not statistically significant which can be due to less sample size. Post operative pain and analgesics used was also evaluated which was required less in laparoscopic group which statistically significant difference. Conclusion: Laparoscopic cholecystectomy was feasible in 90% of patients presenting with symptomatic gallstones. The purported advantages of laparoscopic surgery over conventional open techniques are less pain and faster return to normal functional status. It was safe with less post operative morbidity and was more cost effective as compared with the open surgery.
Authors and Affiliations
Ramesh Chandra Awasthi,
Keywords
Related Articles
- EP ID EP549994
- DOI -
- Views 102
- Downloads 0
Assessment of Different Shade Value according to Age, Skin Color and Gender- A Clinical Study
Background: Teeth selection is not simply a mechanical procedure, but requires dexterity and knowledge of biology. Selection of teeth forms an important step before teeth arrangement. The present study was conducted to d...
A Study of Clinical and Cardiovascular Profile in Tobacco Addicts (>10 years) in under 50 years of age in a Medical College Hospital
Background: Tobacco use continues to be the leading global cause of preventable death. It kills nearly 6 million people and causes hundreds of billions of dollars of economic damage worldwide each year. Most of these dea...
Comparison of Characteristic of Hip Bone Fracture among Different Age Groups- A Clinical Study
Background: Hip fractures are very common among elders. The number of elderly aged 65 years or above was 27.44 million in 2010, occupying 21.5% of the total population. The present study was conducted to assess the chara...
A Comparison between two Pulpotomy Agents: A Randomized Clinical Trial
Background: Pulpotomy is considered to be one of the most commonly preferred treatments in children. Various pulpotomy agents have been used. An ideal pulpotomy agent should be bactericidal, should not damage surrounding...
Implants and Magnets as Retentive Aids in Maxillofacial Region- A Review of Literature
Patients with facial or intraoral defects will seek treatment to address the loss of comfort, function or natural appearance. It is maxillofacial prosthodontist’s responsibility to provide prostheses that do not injure t...