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SAS Journal of Surgery | Volume-1 | Issue-03
A Comparative Study between Laparoscopic and Open Cholecystectomy with Early Post-Operative Course and Complication
Manojith S.S, E. Muniswamy Gattu, Sridar Venkat Rao
Published: Oct. 30, 2015 |
136
103
DOI: 10.36347/sasjs
Pages: 140-145
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Abstract
Laparoscopic cholecystectomy has rapidly become established as the popular alternative to open
cholecystectomy, but it should have a safety profile similar to or better than that of open procedure. The aim of this study
was to compare conventional cholecystectomy with respect to duration of procedure, early postoperative course and
complication, postoperative pain, analgesic requirement and period of hospital stay. 40 consecutive patients below 70
years presenting with calculouscholecystitis with no evidence of CBD stones were randomized to undergo open and
laparoscopic cholecystectomy. Data was collected and analyzed. The two groups were similar with respect to
demographic and clinical charecteristics. There were no significant differences in the rate of complications and blood
loss. Median duration of pain was 1 day with Visual Analogue scale for pain of grade 2 in Laparoscopic group ,while it
was 4 days and grade 3 in open group respectively .The median duration of hospital stay was significantly shorter in
Laparoscopic group ( median 4 v/s 7 days in OC group). The main advantages of LC were the reduced post operative
pain with less duration of analgesia intake, more rapid recovery and reduced hospital stay