MINIMALLY INVASIVE (ENDO–LAPAROSCOPIC AND LAPAROSOPIC CHOLEDOCHOTOMY) VERSUS OPEN CHOLEDOCHOTOMY FOR THE MANAGEMENT OF CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS: WHERE DO WE STAND

Anil Negi; Sudesh Kumar Sagar; Dhiraj Kumar; Sunil kumar

Volume : III, Issue : X, October - 2014

MINIMALLY INVASIVE (ENDO–LAPAROSCOPIC AND LAPAROSOPIC CHOLEDOCHOTOMY) VERSUS OPEN CHOLEDOCHOTOMY FOR THE MANAGEMENT OF CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS: WHERE DO WE STAND

Anil Negi, Sudesh Kumar Sagar, Dhiraj Kumar, Sunil Kumar

Abstract :

Common bile duct stones have been reported in approximate 5–15% of population. At present, preoperative ERCPS with LC is the treatment of choice for CBD stones at most centers. This study was undertaken to compare the management of choledocholithiasis between the different existent modalities. This study was conducted in the department of General Surgery, SRMS IMS Bareilly from August 2010 for a period of 2 years. Operating times (p=0.01.), postoperative hospital stay duration (p=0.01), mean days of rest after discharge (p=0.04) and total man days lost (p=0.01) were found to have statistically significant difference when compared amongst the three different modalities. Thus, we conclude that though open procedure is poorly accepted cosmetically, but in terms of clearance of stones and complications it is comparable to other two modalities and superior in terms of operating time and cost.