European Journal of Molecular & Clinical Medicine

Abstract

The first open cholecystectomy was performed by Langenbuch in1882 in Berlin. The first laparoscopic cholecystectomy was performed by Muhe in 1985. However the first laparoscopic cholecystectomy recorded in medical literature was performed in March 1987 by Mouret in Lyon, France. The technique was perfected a year later in March 1988 by Dubois in Paris. Preoperatively patient’s history was assessed with special reference to pain, fever, nausea, vomiting, dyspepsia, jaundice, mass per abdomen, weight loss and decreased appetite. A careful emphasis was made to record the physical findings particularly icterus tenderness in right hypochondrium and gallbladder mass. Laboratory testing and USG of gallbladder and CBD was done. CBD stone was ruled out by USG. Mean patient satisfaction score is significantly less in Group OPEN with P =0.009.Significant number of patients responded with good to excellent grading (80%) in LAP group when compared to those patients in group OPEN (44%).For statistical analysis purpose we combined excellent+good as above average, and average+poor as below average satisfaction. Significant numbers of patients are satisfied with laparoscopic surgery when compared with open surgery.