Comparitive Study between Minicholecystectomy Versus Lap Cholecystectomy
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Open cholecystectomy is still the most common operation performed in our country. Amount of trauma inflicted by surgeon is directly proportional to the length of incision. There emerged a clear trend towards smaller incision which leads to development of mini-cholecystectomy in 1982. But with the introduction of lap cholecystectomy in the year 1987, the surgical community witnessed a revolution in basic ideology. Aim of the study was to compare post operative pain, wound infection and duration of hospital stay with mini-cholecystectomy and lap cholecystectomy and to determine the rate of conversion to standard open cholecystectomy from lap cholecystectomy and mini-cholecystectomy. Material and methods: 100 Patients were randomly divided at time of induction of anesthesia into one of two groups i.e. minicholecystectomy and lap cholecystectomy. Incision length was kept 4-5 cm in mini-cholecystectomy. Results: Pain was estimated by pain score. Mean operating time was 50 minutes for mini cholecystectomy and 119 min for lap cholecystectomy. Conversion rate to standard open cholecystectomy in mini-cholecystecomy was 8% and 6% in lap cholecystectomy. Wound infection rate was 4% in both group of patients. Conclusion: Pain score of patients undergoing laparoscopic cholecystectomy was less as compared to patients who underwent mini-cholecystectomy. However there was not much difference in rate of conversion to standard open cholecystectomy and rate of wound infection in both groups but hospital stay of lap cholecystectomy patients was less as compared to minicholecystectomy
Authors and Affiliations
Sanjeev Singla, Gaurav Thami, Mamta Singla, Sundeep Singla, Pushpinder Malik, Nivesh Aggarwal
Keywords
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