A Comparative study of laparoscopic versus open cholecystectomy in Coimbatore Medical College and Hospital, Coimbatore

Jothikumar, S (2006) A Comparative study of laparoscopic versus open cholecystectomy in Coimbatore Medical College and Hospital, Coimbatore. Masters thesis, Coimbatore Medical College, Coimbatore.

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Abstract

INTRODUCTION: The modern era of laparoscopic surgery has evoked remarkable changes in approaches to surgical diseases. The trend toward minimal access surgery (MAS) has prompted general surgeons to scrutinize nearly all operations for possible conversion to laparoscopic techniques. AIM OF THE STUDY: Our aim of the study is to compare laparoscopic cholecystectomy with that of open cholecystectomy by the following factors: 1. The technique of surgery, 2. Duration of surgery, 3. Post operative morbidity, 4. Analgesic requirement, 5. Antibiotic requirement, 6. Post operative hospital stay, 7. Complications, 8. Resumption of normal diet, 9. Return to normal activity, 10. Cosmesis. MATERIALS AND METHODS In our CMCH we are doing both open and laparoscopic cholecystectomy. This study is done between January 2004 to February 2006. In this period I have selected 25 cases of laparoscopic cholecystectomy to compare with 25 cases of open cholecystectomy. Common indications for surgery were chronic calculous cholecystitis, acalculous cholecystitis, cholelithiasis, biliary colic and acute cholecystitis. The following factors are compared in laparoscopic and open cholecystectomy: Technique of surgery, Duration of surgery, Post operative pain, Analgesic requirements, Duration of antibiotics given, Intra operative and post-op Complications, Resumption of normal diet, Post operative hospital stay, Return to normal activity, Cosmesis. CONCLUSION: In our study the laparoscopic cholecystectomy surpasses the open cholecystectomy by the followings: Better visualization and magnification of surgical anatomy. • Decreased post operative morbidity. • Shorter duration of analgesic requirements. • Shorter duration of antibiotic requirements. • Decreased wound infection. • Quicker ambulance, better compliance and rapid return to normal activity. • Rapid resumption of normal diet. • Shorter post operative hospital stay. • Best cosmesis. The only disadvantage is the prolonged operative time, which can be minimized in due course of time as the learning curve progresses. We have also found that the conversion to open cholecystectomy should be done in proper time with out any hesitation in case of complications that could not be managed by laparoscopic surgery and conversion in such case reflects sound judgment and should not be considered as a complication.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Laparoscopic, Open Cholecystectomy, Coimbatore Medical College, Coimbatore, comparative study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 08 Jun 2018 16:07
Last Modified: 23 Mar 2020 08:09
URI: http://repository-tnmgrmu.ac.in/id/eprint/8293

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