DOI: 10.36347/sjams.2015.v03i08.043

Pages: 2954-2959

In the recent decade, laparoscopic cholecystectomy has become the gold standard for the treatment of symptomatic cholelithiasis with advantages in regard to postoperative pain, hospital stay, early return to activities of daily living and acceptable cosmetic results. Minilaparotomy cholecystectomy has been suggested as an alternative to conventional as well as to the laparoscopic cholecystectomy as it incorporates the benefits of both these procedures. This study aims to compare laparoscopic and minilaparotomy cholecystectomy in the treatment of cholelithiasis regarding perioperative complications, length of hospital stay, surgical time, incidence of reoperation and conversion to open surgery and time for returning to labor activities. The study subjects were patients, admitted with diagnosis of cholelithiasis, who subsequently underwent cholecystectomy at Department Of General Surgery S.P. Medical College and associated group of Hospital Bikaner (Rajasthan) between jun. 2014 and Jan. 2015. We included patients with symptomatic cholelithiasis divided into two groups: group one—minilaparotomy and group two—laparoscopic cholecystectomy. In results There were 50 patients with cholelithiasis: 11 males (22%) and 39 females (78%). There were 25 patients in each group. Mean operative time was 33 min for minilaparotomy and 42.5 min for laparoscopic cholecystectomy (p = <0.001). Average hospital stay was 3 days for minilaparotomy and 2 days for laparoscopy (p = 0.129). Complications of minilaparotomy were demonstrated in 8% of patients and for laparoscopic cholecystectomy in 20% of patients (p = 0.189). In conclusion Minilaparotomy cholecystectomy has results similar to laparoscopic cholecystectomy.