OUTCOME FOLLOWING OPEN AND LAPAROSCOPIC CHOLECYSTECTOMY

Autor:	T. M. Manohar, Lakshminarayan G, Abinash Hazarika, Avadhani Geeta K, Anmol N
Rok vydání:	2014
Předmět:	medicine.medical_specialty Normal diet business.industry medicine.medical_treatment Incidence (epidemiology) Analgesic Cosmesis medicine.disease Surgery medicine.anatomical_structure Anesthesia Cholecystitis Medicine Abdomen Cholecystectomy business Laparoscopic cholecystectomy
Zdroj:	Journal of Evolution of Medical and Dental Sciences. 3:4061-4071
ISSN:	2278-4802 2278-4748
DOI:	10.14260/jemds/2014/2400
Popis:	Laparoscopic cholecystectomy has rapidly become established as the popular alternative to open cholecystectomy, but it should have a safety profile similar to or better than that of open procedure. The aim of this study was to compare conventional cholecystectomy and laparoscopic cholecystectomy with respect to duration of procedure, complications, postoperative pain, analgesic requirement, antibiotic requirement, resumption of normal diet and period of hospital stay.50 patients with symptoms and signs of acute acalculous/calculous cholecystitis, selected randomly, were included in this study. Clinical profile, investigations, treatments, outcomes were analyzed. The highest age incidence was in the 5 th decade, more common in females. Pain in the RUQ of abdomen was the most common symptom. Ultrasonography showed gallbladder stones in almost all patients. The duration of LC (120min) was more than for OC (90min). The conversion rate of LC to OC was 8%. Post- operative morbidity was more in case of LC. The antibiotic and analgesic requirements were less in LC group. The resumption of normal diet was 2 days earlier in LC compared to OC group, and the hospital stay was 4 days less in LC group. The result showed the incidence of acute calculous/acalculous cholecystitis more in females, 5 th decade, presented more commonly with pain abdomen. Ultrasonography was the most common investigation. Laparoscopic cholecystectomy reduces the number of antibiotic and analgesic requirement, hospital days, pain disability, wound infection, and with better cosmesis, except for the prolonged operative time, which can be minimized in due course of time as the learning curve progresses.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ce38ca6bc27027caaad4e41811a0e1b5 https://doi.org/10.14260/jemds/2014/2400 Zobrazit plný text záznamu