Abstract
INTRODUCTION: The aim of our study was to compare cholecystectomy from the minimum access laparotomy (CMAL) and laparoscopic cholecystectomy (LC) with respect to complications, operating time, postoperative length of hospital stay (PLOS). METHODS: One hundred fifty nine patients with biliary colic and documented gallstones were randomized to CMAL (n = 86) or LC (n = 73) groups. Data measures included operating time, postoperative complication (hyperthermia), and postoperative length of hospital stay. RESULTS: Patients were similar except for body mass index (BMI), age, gender, ASA. The CMAL group had longer operative time (65 vs. 39 min, p = 0.004) compared with the LC group. The postoperative length of hospital stay was significantly shorter in the LC groups than the CMAL groups (5,3 vs. 3,2 days, p=0,002). Postoperative time of hyperthermia was longer for CMAL (2,71 vs. 0,91 days, p=0.008). There was no major complication in either group. CONCLUSION: CMAL is associated with longer operating time, period of hyperthermia after operation and length of stay, but equals LC with respect to safety.
Highlights
Приведены данные сравнительного анализа особенностей послеоперационного течения у 159 больных желчнокаменной болезнью после выполнения холецистэктомии из минимального лапаротомного доступа (73 пациентов) и лапароскопическим способом (86 больных)
Postoperative period features depends on the type of surgery
More favorable postoperative period in patients after LC explained as shorter operating time, reduced frequency and duration of hyperthermia and reduced postoperative length of hospital stay
Summary
Приведены данные сравнительного анализа особенностей послеоперационного течения у 159 больных желчнокаменной болезнью после выполнения холецистэктомии из минимального лапаротомного доступа (73 пациентов) и лапароскопическим способом (86 больных). Течение послеоперационного периода зависело от вида хирургического вмешательства (холецистэктомия из минимального лапаротомного доступа или лапароскопическая холецистэктомия). Более благоприятное течение послеоперационного периода у больных после лапароскопической холецистэктомии определяется меньшей длительностью оперативного вмешательства, снижением частоты и продолжительности гипертермии и сокращением сроков пребывания в стационаре.
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