DOI: 10.36347/sjams.2016.v04i07.064

Pages: 2603-2606

Today laparoscopic cholecystectomy is considered as the gold standard treatment for gall stone disease. But this facility still is not available for common people in many parts of the country due to the high cost of treatment, technical expertise required and non availability of the technology. So this study was conducted to assess the feasibility and relevance of open cholecystectomy via a very small incision in present era. The aim of this study was to analyze and compare the outcome of open micro-cholecystectomy through a very small incision with laparoscopic cholecystectomy. This study was carried out in two groups of 30 patients each of laparoscopic cholecystectomy(LC) and the open micro-cholecystectomy(MC) done preferably by the fundus first method with a 3-5 cms small subcostal incision. Time required for the procedures, average hospital stay, postoperative pain, complication rates and cosmetic appearance of wound were noted in both groups. Out of 60 patients, 30 were randomized to LC and 30 to MC. The groups were well matched for age and sex. Operating time is less for MC group. Median hospital stay was nearly equal in both groups. Intraoperative complications were less frequent in the MC group, but there was no difference in the postoperative complication rate between the two groups. There was lesser postoperative pain and equally acceptable cosmesis in MC group. There was no bile duct injury in each group and no deaths. In centres where facilities for laparoscopy are not available, open micro-cholecystectomy is a good and feasible alternative to laparoscopic cholecystectomy.