Siba Prasad Dash, Subhabrata Das, Subhasis Roy, Bimal Kumar Sahoo
BACKGROUND Cholelithiasis popularly known as gall stone has become a matter of global concern particularly in the adult age group owing to our life styles. Although open cholecystectomy started earlier, laparoscopic cholecystectomy has replaced it with few exceptions. However, each procedure has its advantages and disadvantages pertaining to certain characteristics of the patient, infrastructure availability and financial feasibility. The aim of this study was to compare the relative effectiveness of each procedure through different parameters before, during and after the surgery. MATERIALS AND METHODS In this cross-sectional study, 100 patients were included with equal proportion in each group. They underwent either of the surgeries and comparison was made utilizing different pre, intra and post-operative factors through different statistical tests applied accordingly. RESULTS Laparoscopic cholecystectomy was better than open cholecystectomy in terms of surgery duration, decreased pain post operatively, ambulation, hospital stay etc. with statistical significance between the 2 groups. The outcome was favourable leading to the impression of going for the former procedure in most of the settings of cholelithiasis. CONCLUSION Laparoscopic cholecystectomy was better alternative to open cholecystectomy in terms of less intra and postoperative complications.
