ABSTRACT
Background:Laparoscopic cholecystectomy is being used in increasing frequency for cholecystectomy
Objective:To evaluate the short-term outcome of early laparoscopic cholecystectomy in terms of length of hospital stay, complications and patient satisfaction
Methodology: After approval of the institute's research evaluation committee, this cross sectional study was conducted at the department of General and laparoscopic surgery, Hayatabad Medical Complex, Peshawar from 1 January to 31 December 2015. Clinical features, operative findings and postoperative outcome was recorded in terms of length of stay [LOS], complications and overall patient satisfaction. The data was entered and analyzed by using SPSS version 20
Results: Mean age was 48.31 years +/- 10.86 with 13 [24.1%] males and 41 [75.9%] females. The overall no to low satisfaction rate was 13[24.07%], while 7[12.96%] patients remained neutral. The rest of the 34[63%] patients rated their satisfaction as high or adequate. Significantly associated complications to open cholecystectomy included development of postoperative pyrexia [p = 0.006], wound infection [p < 0.001], and seroma formation [p < 0.001]. The distributions of median satisfaction scores were statistically significantly different for the two groups of procedures [p < 0.001]
Conclusion: laparoscopic cholecystectomy is a safe and effective choice for patients of gallstone disease with significantly shorter length of stay and higher overall satisfaction rates