COMPARATIVE STUDY OF LAPAROSCOPIC CHOLECYSTECTOMY VERSUS OPEN CHOLECYSTECTOMY IN A TEACHING HOSPITAL

DebBarma D; Chatterjee D; Saha A.K.

Volume : VIII, Issue : IV, April - 2018

COMPARATIVE STUDY OF LAPAROSCOPIC CHOLECYSTECTOMY VERSUS OPEN CHOLECYSTECTOMY IN A TEACHING HOSPITAL

Debbarma D, Chatterjee D, Saha A. K.

Abstract :

The study was carried out to find out the average time, hospital stay, complications of Laparoscopic versus open Cholecystectomy in Dept. of Surgery , A.G.M.C & G.B.P. Hospital, Agartala. Design of the study was Prospective type of Observational Study.Patients with gall stones and gall bladder related diseases who were admitted in A.G.M.C & G.B.P.Hospital between September 2015 and August 2017 for cholecystectomy. The selection of procedure of open cholecystectomy or laparoscopic was decided depending upon the inclusion and exclusion criteria, exception when patient consent was not given for a particular procedure.Main outcome measured was Operating time, hospital stay, morbidity and mortality.Fifty(50) patients underwent laparoscopic cholecystectomy and 50 patients had open surgery. The demographic data and co–morbidities were comparable between the two groups. The average time taken in laparoscopic cholecystectomy was 52.50 minutes and in open cholecystectomy was around 82.50 minutes(p<.05). The post operative hospital stay was significantly shorter for patients undergoing laparoscopy (p=.001). There was, however no statistical significant difference in the mortality rate. There was no major bile duct injury for patients in either group.4(four) cases were converted to open cholecystectomybecause of obscured anatomy and adhesion. It was concluded that Laparoscopic cholecystectomy is a safe procedure in gall bladder diseases, resulting in less operating time, fewer complications and shorter hospital stay than open cholecystectomy.