Laparoscopic and open cholecystectomy: A comparative study

Abstract

Background: Gallstone (GS) disease is a major health problem worldwide particularly in the adult population. Gallstones are a common occurrence in northern India. Prevalence of gallstone ranges from 10 to 20% in India. 2 It affects nearly 4. 3% of the population. Subjects and Methods: 146 Patients of cholelithiasis aged between 16 years to 65 years operated during the period from July 2017 to December 2019. They were divided into open and laparoscopic Cholecystectomy group. The patients were studied with respect to their clinical presentation and were categorized as patients with asymptomatic Gall stones, acute calculus cholecystitis and chronic calculus cholecystitis. Results: In open cholecystectomy group 45% were males and 55% females. In laparoscopic cholecystectomy group 36% were males and 64% females. The age range was from 16-65 year in both the groups. The mean age was 36. 29±14. 60 years for group open cholecystectomy and 34. 47±11. 20 years for group laparoscopic cholecystectomy. Symptoms of patients in both the groups were almost same. The mean operation time for Laparoscopic cholecystectomy was significantly longer than for Open cholecystectomy. Conclusion: The laparoscopic cholecystectomy is a safe and effective treatment of complicated gallstone disease. Laparoscopic cholecystectomy is better than open cholecystectomy in terms of post-operative pain, analgesic requirement and early return to work.