Feasibility of Mini-cholecystectomy Versus Laparoscopic Cholecystectomy

Dahal P, Shrestha K Bhatta PN, Yadav U,

Abstract


Introduction: Currently, laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic cholelithiasis with advantage in regard to complication, hospital stay, early returns to activities and cosmetic results. Similarly Open cholecystectomy in the form of mini-cholecystectomy may be an effective alternative for the management of symptomatic cholelithiasis. This study was done to compare the result of lap. Cholecystectomy and minicholecystectomy.

Methods: This is a prospective study which was conducted between Jan 2012-Jan 13 in a total of 100 patients. The patients were were divided in 2 groups randomly: group A (50 patients) – laparoscopy Cholecystectomy (LC) and group B (50 patiens)- mini cholecystectomy(MC). The outcome was compared with the age, sex, OT time, hospital stay, pain, nausea, CBD (common bile duct) injury, haemorrhage, surgical site infection (SSI).

Results: Among 50 mini-cholecystectomy cases 48 were female, and 2 were male. The mean operating time was 45(30-65) minutes and mean hospital stay was 3-5 days. SSI was detected in 6% patients and pain, nausea in 6%. In a group B, there were 44 female and 6 male with mean OT time of 45 (30-90 minute) and mean hospital stay was 2 days. CBD injury was found in 2% and SSI in 2% patients, pain/nausea in 10%.

Conclusion: Mini-cholecystectomy is a safe procedure with shorter operative time, hospital stay and less complication. It is an effective alternative for laparoscopic Cholecystectomy where expertise and facilities are limited.

Full Text:

View Pdf