Original Research Article
Year: 2016 | Month: October | Volume: 6 | Issue: 10 | Pages: 52-56
Comparative Study between Laparoscopic and Open Cholecystectomy for Cholelithiasis
Dr. B. Hemasankararao1, Dr. RV Srinivasarao2
1Associate Professor, Department of General Surgery, MIMS (Maharajah’s Institute of Medical Sciences), Vizianagaram, Andhra Pradesh, India.
2Assistant Professor, Department of General Surgery, MIMS (Maharajah’s Institute of Medical Sciences), Vizianagaram, Andhra Pradesh, India.
Corresponding Author: Dr. B. Hemasankararao
ABSTRACT
For treating symptomatic gallstones laparoscopic cholecystectomy is used as a common procedure, and it is increasingly being requested by the informed general public. All patients undergo routine preoperative laboratory tests, including a complete blood count, and abdominal ultrasonography. Patients were randomised in the operating theatre and anesthetic technique and pain-control methods were standardized. The study was conducted in MIMS (Maharajah’s Institute of Medical Sciences). The study population was enrolled after fulfilling the selection criteria from OPD (Out Patient Department) of General Surgery. In patients with successful LC, gallbladder perforation occurred in 18% and 31% of CC and AC patients, respectively (P<0.003). Missed stones occurred in 1.4% and 3.3% of the patients with successful LC for CC and AC, respectively. There is an increased conversion rate, longer operation time, longer hospital stay, and higher incidence of gallbladder perforation without an increase in the incidence of bile duct.
Key words: Cholecystectomy, Cholelithiasis, Laparoscopy, Gallstones.