A comparitive study of open cholecystectomy versus laparoscopic cholecystectomy

Sekar, A (2014) A comparitive study of open cholecystectomy versus laparoscopic cholecystectomy. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION: Gall bladder disease is the most common curable disease in female of middle age. Laparoscopic cholecystectomy has rapidly become the choice of elective surgery for the treatment of Cholecystitis even though Open Cholecystectomy remains the main modality of surgery in many centres in India. But to become an alternative to open method, it should be safe, less morbid and it should have the possibility of early return to work better than that of open the procedure. This study compares the open cholecystectomy and laparoscopic cholecystectomy with respect to duration of procedure post operative pain, wound infection, requirement of antibiotics and analgesics period of stay in hospital and return to work. In this study we selected 65 patients with gall bladder diseases and divided in to two groups as Group A and Group B in a random wise 33 in former and 32 in later group. The source of cases were obtained from Govt. Kilpauk Medical College, Chennai & Govt. Royapettah Hospitals, Chennai, department of general surgery. All the patients were subjected for USG abdomen, Complete blood count, renal function test, CXR, liver function test and MRCP in selected cases. Group a subjected for open cholecystectomy and Group B for laparoscopic cholecystectomy and the above mentioned datas were compared. Pre operative antibiotic given half an hour prior to surgery is more enough to prevent infection except in conditions like diabetes mellitus association with it. Per rectal Paracetamol suppository is enough to relieve in both the groups. Time taken for laparoscopic surgery is lesser than that for open procedure and the period of hospital stay is also less in laparoscopic surgery.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Cholecystectomy ; laparoscopy ; gall stones ; cholecystitis ; MRCP.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jul 2018 16:24
Last Modified: 07 Jul 2018 15:54
URI: http://repository-tnmgrmu.ac.in/id/eprint/8661

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