Laparoscopic and open cholecystectomy in Alwahda Hospital during 2007, Derna-Libya

ABSTRACT

Cholecystectomy is one of the most frequently performed operations. Various series have demonstrated that the laparoscopic approach leads to a reduction in postoperative pain and diminished postoperative hospitalization and disability. To evaluate laparoscopic Cholecystectomy [LC] in relation to open Cholecystectomy [OC] in the surgical treatment conducted in Al Wahda Hospital, Derna. Libya, during 2007. Sixty patients undergoing elective Cholecystectomy for symptomatic gallstones were studied. The patients were allocated in the two groups of 30 each by simple random technique. Group-1 underwent OC and Group-11 underwent LC. The patients were then followed up to pick up signs of wound infection. In case of infection, the degree of infection was documented and the results analyzed. The age of patients ranged from 21-80 years with the maximum number in the 4th decade [30] patients. The commonest presentation was chronic cholecystitis in both groups, 15 patients [50%] in laparoscopic and 12 [40%] patients in OC group. There was no wound infection in any case of chronic cholecystitis [zero] out of 27 cases, ail 4 instances of wound infection in occurred in acute cholecystitis / empyema. [4 / 33] representing 6.6%. In case of LC group there was only one of Class-ll wound infection in a patient suffering from empyema. In case of OC there were 3 cases of wound infection. Out of these, one was of class-ll and two of Class -III. Both Class- II infections. The frequency of wound infection was three times as common in OC as compared to LC