Laparoscopic cholecystectomy: a better alternative to the open method

ABSTRACT

Two Hundred patients suffering from gall bladder disease were operated upon in the General Surgery Department, Zagazig University and General Surgery Department in El-Sahel Teaching Hospital. Patients were divided into two groups, group I [100 patients underwent laparoscopic cholecystectomy] and group II [100 patient underwent open cholecystectomy]. All patients were subjected to full clinical history and through examination, laboratory investigations, ultrasonography and radiological investigations [plainx-ray and cholecystography]. The results showed that the mean operative time was 76.2 + 28.9 minutes in group I and 63.6 + 19.9 minutes in group II. The success rate was 95% with 12% rate of complications in group I while in group II, the success rate was 100% with 17% postoperative complications. The mean duration of hospital stay after laparoscopic cholecystectomy was 1.2 + 0.6 days and after open cholecystectomy 4.7 + 1.1 days. The mean time to work was 10.6 + 1.9 days in group I and 22.5 + 6.0 days in group II. The cosmetic appearance was far more better after laparoscopic cholecystectomy and morality rate was 0% in both groups