Comparison of laparoscopic cholecystectomy with the open technique

ABSTRACT

This paper presents the results of laparoscopic cholecystectomy [LC] performed in 69 patients having gall bladder disease. Their results were compared with the data obtained from 53 open [classic] cholecystectomy LC patients included cases with chronic calcular cholecystitis, symptomatic cholelithiasis, acute cholecystitis and common bile duct stones. The average operative time was significantly longer in operation. LC [P < 0.0001]. The procedure was successfuly completed in 66 of 69 patients. The remaining 3 cases were converted to open operations with conversion rate of 4.3%. The mean postoperative hospital stay was significantly shorter for LC [P < 0.0001]. No deaths and no major complications were recorded in either type of cholecystectomies. Only minor complications were observed with lower rate for LC. These data have shown that LC could be considered as the best choice for treatment of gallstones since it is a safe, effective technique. Moreover, the patients benefit from a short hospital stay with lower hospital costs