Buttonhole Cholecystectomy: Modified Approach – A Prospective Study of Twenty Five Cases

ABSTRACT

Cholelithiasis is a common disorder affecting large number of population in the world.open cholecystectomy has been the treatment of choice for symptoms of gall stones for many years. . Another less explored type of cholecystectomy is button hole cholecystectomy which is performed through a single incision of 2.5 cm in length. This study aimed at evaluating cholecystectomy through a button hole incision and its efficacy and decrease in post operative morbidity. Methods: Twenty five patients reporting on two specific days of a week with cholelithiasis, treated and followed up at Guru Nanak Dev hospital Punjab were included in the study. Results: The study was conducted on 25 patients consisting of 19 females and 6 males. The most common symptom was right hypochondrial pain followed by vague dyspepsia. Fever was present in 3 patients. Conclusion: Buttonhole cholecystectomy is a safe and easily performed procedure which does not require any sophisticated equipment. It is a patient friendly procedure and does not require the elaborate layout of laparoscopic cholecystectomy. It is also less costly and requires no special training.