DOI: 10.36347/sajb.2018.v06i02.015

Pages: 222-225

This study was undertaken to compare laparoscopic cholecystectomy and open cholecystectomy as an elective surgical procedure for cholecystectomy. This retrospective analytic study was conducted at a tertiary care centre during 6 calendar months period among 56 cases of cholelithiasis requiring cholecystectomy. Out of 56 cases of cholelithiasis, 35 cases operated via laparoscopic approach and remaining 21 cases were operated via open cholecystectomy. The mean time taken for surgery was 65.14 ± 24.75 minutes for laparoscopic cholecystectomy and 63.57 ± 25.50 minutes for open cholecystectomy (P>0.05). The frequency of bleeding (other than standard bleeding during the surgical procedure) was 2/35 (5.71%) in laparoscopic cholecystectomy and 2/21 (9.52%) in open cholecystectomy (P>0.05). The wound infection occurred in 2/35 (5.71%) in laparoscopic cholecystectomy and 3/21 (14.29 %) in open cholecystectomy (P>0.05). The total leucocyte count (TLC), frequency of septicaemia, analgesia duration and hospital stay did not differ among both groups. Injury to the common bile duct occurred in 2/35 (5.71%) cases of laparoscopic cholecystectomy. The quality of life in terms of days of analgesia required and days of absenteeism from work also did not differ statistically among the both groups. Laparoscopic cholecystectomy had lower morbidity (wound infection, bleeding, pain, hospital stay). The bile duct injuries are more common in laparoscopic cholecystectomy.