A COMPARATIVE STUDY OF LAPAROSCOPIC VERSUS OPEN CHOLECYSTECTOMY
English

Gopal Rao D, Suryanarayana K, Srinivas T, Satish B
2015 Journal of Evolution of Medical and Dental Sciences  
The model era of Laparoscopic Surgery has evoked remarkable changes in approaches to surgical diseases. The trend toward minimal access surgery (MAS) has prompted General surgeons to scrutinize nearly all operations for possible convention to Laparoscopic techniques. AIM OF THE STUDY: Our aim of the study is to compare Laparoscopic Cholecystectomy with that of open cholecystectomy. MATERIALS AND METHODS: In our Mahatma Gandhi Memorial Hospital we are doing both Open and Laparoscopic
more » ... omy, this is done between October 2011 -October 2013. In this period we have done 146 cholecystectomy, out of which 96 are Laparoscopic Cholecystectomy to compare with 50 cases of Open cholecystectomy. RESULTS: Conversation rate Laparoscopic to Open is 8%. Duration of Surgery: Open (90Min), Lap (120Min). Average post of antibiotics: Open (7 days), Laparoscopic (4 days). Average post-op resumption of normal diet Open (5 days), lap (3 days). Average post of hospital stay: Open (10days), Lap (5days). CONCLUSION: In our study the Laparoscopic cholecystectomy surpasses the open cholecystectomy. The only disadvantage is the prolonged operative time, which can be minimized in due course of time as the learning curve progresses. We have also found that the conversion to open cholecystectomy should be done in proper time without any hesitation in case of complications that could not be managed laparoscopic surgery and conversion in such case reflects sound judgment and should not be considered as a complication.
doi:10.14260/jemds/2015/1863 fatcat:zgxudhjnxrh23oallrj22igaqu