Online ISSN: 2515-8260

Keywords : laparoscopic cholecystectomy


Open cholecystectomy versus laparoscopic cholecystectomy: A comparative study at north Indian based teaching hospital

Dr. Vipin Kumar, Dr. E.D. Reddy, Dr. Chandra Shekhar, Dr. Madhu Sinha

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 586-591

Background: Gallstone disease (GSD or Cholelithiasis) is a significant health problem
both worlds over (in both developing and developed nations). The main objective is
Laparoscopic cholecystectomy has rapidly become established as the popular alternative to
open cholecystectomy, but it should have a safety profile better than of open procedure.
Aims and objectives: The aim of this study was to compare conventional cholecystectomy
and laparoscopic cholecystectomy with respect to duration of procedure, complications,
postoperative pain, analgesic requirement and period of hospital stay.
Materials and Methods: This study consists of 52 patients who have undergone gallbladder
removal in GMC Budaun. 26 patients who have undergone laparoscopic cholecystectomy
and 26 patients who have undergone open cholecystectomy for a study period of one year
have been taken into the study In method 52 consecutive patients below 70 years presenting
with calculous cholecystitis with no evidence of CBD stones were randomized to undergo
open and laparoscopic cholecystectomy.
Results: 9 patients of LC and 10 patients of OC were males. Among LC 16 patients were
females and among OC group 15 were females, 28% of patients who underwent open
surgery had complications and 16% of patients who underwent laparoscopic surgery had
complications. The overall percentage of complications is lesser in laparoscopic surgery
than open surgery, The VAS was median grade 2 in LC group as compared to median
grade 4 in LC group. The NSAID’S were used for more days in OC group compared to LC
group, 23 patients who underwent laparoscopic cholecystectomy were discharged before 5
days. All patients who underwent OC stayed >5 days in hospital.
Conclusion: Herewe conclude in results, the duration of pain, rate of complications and
hospital stay were significantly lower in laparoscopic group. However the main advantages
of LC were reduced postoperative pain with less duration of analgesic intake, more rapid
recovery, reduced hospital stay and early return to normal work.

Rate And Reasons Of Conversion Of Laparoscopic Cholecystectomy To Open Surgery: The Experience Of Baquba Teaching Hospital

Bashar Akram AlBayati; Fuad Jarrallah, Salah Saleh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 444-449

- Baquba Teaching Hospital – Diyala – Iraq, from January 2017 to December 2019. A total of 2749 patients of all age groups and both sexes who were found to have symptomatic gallstones were included in the study. Operative findings, causes of conversion and postoperative complications were recorded.
Result: Out of the 2749 patients who were included in this study, successful laparoscopic cholecystectomy was completed in 2711 patients, while conversion to open procedure was required in 38 patients (1.38 %). Among those who were converted to open surgery, the most common cause of conversion was dense adhesions around the gallbladder representing 42.1 % of causes of conversion.The next common cause of conversion was obscure anatomy at Calot's triangle in 31.58 % patients. Instrument failure was responsible for 10.53 % of conversions. Massive bleeding that could not be controlled laparoscopically was the cause of conversion in 7.89 % of patients and visceral injury was the cause in 5.26 % while the least common cause of conversion was wide cystic duct in 2.63% which was difficult to clip laparoscopically.
Conclusion: The risk of conversion to open surgery is always present and the decision about when to convert to laparotomy is an individual one, often subjective, made by the surgeon in the course of the procedure. The conversion rate in the present study was 1.38 % which is in the lower limit as compared to other studies, with causes similar to or approximating many national and international literatures.