Retrospective Assessment of Laproscopic Cholecystectomy Versus Open Cholecystectomy in Geriatric Patients with Acute Cholecystitis: A Comparative Study

Rishi Kant Aryal, Rakchhya Gautam
2015 International Journal of Contemporary Medical Research   unpublished
In the early days, acute cholecystitis was a contraindication of laparoscopic cholecystectomy (LC). Earlier patients with acute cholecystitis were managed conservatively and discharged for re-admission in order to get elective surgery performed for the definitive treatment. Results of various studies in the past literature show that LC is a safe and efficient treatment approach for acute cholecystitis in comparison with open cholecystectomy (OC). Hence, we planned the present study to evaluate
more » ... he geriatric patients with acute cholecystitis who underwent treatment with LC and OC. Material and Methods: The present study included assessment of 30 geriatric patients who underwent surgical procedure for the treatment of acute cholecystitis. The subjects were divided into two groups depending upon the type of treatment. One group included patients who underwent treatment with LC while the other group included patients who underwent treatment with OC. Intra-operative, postoperative and preoperative, parameters were analysed and compared. Then all the post-operative recording was done and results were analyzed by using SPSS software. Results: Out of all patients who under wet Pc and OC, 10 and 9 were males respectively. Mean age of the patients in the LC group and OC group was 74.2 and 78.5 years respectively. While comparing the mean age, body weight and history of previous surgery in between the patients of the two study groups non-significant results were obtained. None of the patients of the LC group had myocardial infarction while two patients in the OC group suffered myocardial infarction. Among LC and OC group, wound infection occurred in 1 and 2 patients respectively. Significant results were obtained while comparing the complications in between the study groups. Conclusion: For treating geriatric patients with acute cholecystitis, LC is a safer procedure.
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