Anindita Bhar1 , Sagar Karmakar2
BACKGROUND Cholecystectomy has become the universal standard for treatment of cholecystitis. We conducted this study to find out the method of cholecystectomy to be chosen in a developing country like ours, where loss of working days is a major issue and also to find out if there is any advantage of laparoscopic cholecystectomy over open cholecystectomy. METHODS We retrospectively viewed medical records of 160 cholecystectomised patients within our study period and divided them in to two groups Group A (comprising of patients undergone laparoscopic cholecystectomy) and Group B (comprising of patients undergone open cholecystectomy). By this process each group comprised of 80 patients. Necessary data like age, gender, diagnosis (acute or chronic), duration of surgery, intra and post-operative complications, post-operative pain and analgesic use, drain output on 1st post-op day & duration of hospital stay were collected from hospital records. Both the groups were then compared on the basis of these data. RESULTS Mean age of study population was 41.41 ± 11.76 yrs. while that of Group A was 40.78 ± 11.90 and that of Group B was 42.02 ± 11.67 yrs. 31.25% of study population were male remaining being female. 32.50% in Group A and 30% in Group B were male. Group A had a significantly lower duration of surgery compared to Group B (p<.0001). Group A also had a significantly lower rate of post-operative complication (p=0.006), lower 1st post-operative day drain output (p<0.0001), lesser post-operative analgesic requirement (p<0.0001), and a lower post-operative hospital stay (p<0.0001). CONCLUSIONS With an experienced surgeon, laparoscopic cholecystectomy has become a procedure of choice compared to open cholecystectomy.
