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Laparoscopic Cholecystectomy Versus Small Incision Cholecystectomy in Symptomatic Gallstones Disease

Shanth Kumar P.N.* , Shanth Kumar P.N.* , G.S. Mahesh*

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RFP Gastroenterology International 1(1):p 13-16, January - June 2016. | DOI: N/A

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Abstract

  Objective: To compare the results and outcomes of the laparoscopic cholecystectomy (LC) with the small incison cholecystectomy (SIC). Place and Duration of Study: Department of Surgery, SIMS from August 2014 to august 2016. Methodology: Patients with symptomatic gallstones that were referred and enrolled in the study for LC or SIC. Operation, anaesthesia, analgesics and postoperative care were standardized. The patients were assessed for operation time, postoperative pain, nausea, vomiting, hospital stay, return to work time and complications in the postoperative period on day 1, 1 week, 1 month and 3 months, postoperatively. Results: Of 145 patients, 82 underwent LC and 63 underwent SIC. Both groups were matched for age, gender, BMI, clinical findings and ASA grading. The mean duration of operation was 68 and 58 minutes in the LC and SIC groups, respectively (p = 0.0059). Duration of hospital stay and return to regular activities were shorter after LC compared to SIC. Pain scores, nausea and vomiting were the same in both groups, although the frequency of intra-operative complications were greater in LC compared to SIC. Conclusion: Outcome and complications of SIC were comparable with those of LC.

 Keywords: allstone;  Laparoscopic Cholecystectomy; Small Incision Cholecystectomy; Complications.   

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