The Rationality of Mini-Laparotomy Cholecystectomy in Symptomatic Gallbladder Disease: A Retrospective Cohort Study

Abstract

Background Mini laparotomy cholecystectomy MC has recently gaining acceptance with increasing popularity as an alternative to open cholecystectomy OC The aim of the present study was to analyze the rationality of MC in gallbladder disease by comparison with laparoscopic cholecystectomy LC and OC Material and Methods Between January and January patients who underwent LC OC or MC were retrospectively analyzed In the MC group the abdominal skin incision was le cm Results Two hundred thirty patients underwent OC patients LC and patients MC The ASA III score was significantly higher in the MC group when compared to the OC and LC groups P lt P lt The frequency of acute cholecystitis was significantly higher in the MC and OC groups than the LC group P lt P lt The number of patients with coronary artery disease CAD was significantly higher in the MC group when compared to LC and OC groups P lt P lt No significant difference was found between the groups regarding the development of postoperative complications P gt The hospitalization period was significantly shorter in the LC group when compared with the OC and MC groups P lt P lt Return to normal daily activity was significantly shorter in the LC group when compared with the OC and MC groups P lt P lt Cost of treatment was significantly less in the MC group than the LC and OC groups P lt P lt Conclusion MC is a safe practical and cost effective procedure which can be considered where LC is not applicable