After the introduction of laparoscopic cholecystectomy it has become the procedure of choice for the removal of gall bladder. The advantages of laparoscopic cholecystectomy cited were the avoidance of large incision, shortened hospital stay and earlier return to work. This study was conducted in an effort to determine if these proposed advantages could be achieved in practice.
Objectives: To assess safety and efficacy of laparoscopic cholecystectomy in comparison to open cholecystectomy and to compare laparoscopic cholecystectomy versus open cholecystectomy in terms of duration of operation, hospital stay, post-operative recovery, complications and patient satisfaction.
Methods: This was a Retrospective clinical study consisting of 50 patients undergoing cholecystectomy randomised in two groups-25 patients in group LAP (Laparoscopic cholecystectomy) and 25 patients in group OPEN (Open cholecystectomy).
Results: There was a preponderance of cases in the 3rd and 5th decades of life in both groups with a female preponderance. The most common indication for cholecystectomy was cholelithiasis. The duration of the procedure was less in the group LAP when compared to the group OPEN. Overall complications were more in group OPEN. Pain was less in group LAP. Resumption of oral intake was significantly earlier in group LAP. Also the duration of hospital stay was shorter with earlier return to normal work in group LAP.
Conclusion: Females were the main sufferers of gallbladder disease in our study. The duration of surgery was lesser in group LAP in our study. Over all complication were more in group OPEN. The postoperative pain was less and patients tolerated oral feeds earlier in laproscopic cholecystectomy group when compared to open surgery. The patients undergoing laparoscopic cholecystectomy were discharged earlier and resumed their normal work earlier when compared to open cholecystectomy group. In conclusion, the study supports the view that laparoscopic cholecystectomy is safe and efficacious and offers definitive advantages over open cholecystectomy and should be the available option for all patients requiring elective cholecystectomy.