Comparative study of minimal invasive cholecystectomy versus laparoscopic cholecystectomy

ABSTRACT

A total of 133 patients complaining of gallbladder disease was operated upon; 75 patients for minimal invasive cholecystectomy [MIC] [incision 5 cm] and 58 patients for laparoscopic cholecystectomy [LC]. The study relied on US examination. The severity of GB disease, requirements of analgesia, hospital stay, conversion and complication rates were compared in both groups. It was found that MIC was comparable with LC in terms of postoperative analgesia and significantly less operative time. MIC could be easily performed in the developing countries where facilities for LC may not be available. Although, LC has a simple postoperative course and has the advantage of full abdominal exploration, there are still other contraindications to it as the absolute refusal of the patient, hemorrhagic syndrome or massive cirrhosis and fistula between the liver and gut. MIC is preferred as it represents a safe, inexpensive method for treating non-complicated gallstones, especially in the developing countries