Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Cholecystectomy the surgical removal of the gallbladder, is a widely performed procedure for symptomatic gallstone disease. Laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) are two predominant surgical approaches, each with distinct advantages and drawbacks. This retrospective study aims to comprehensively evaluate the complications and outcomes associated with these approaches, guiding evidence‐based decision‐making. Spanning a one‐year period from January‐December 2023, this single‐center retrospective study compared LC and OC outcomes in patients with symptomatic gallstones. Data encompassed demographic, clinical, surgical and postoperative aspects. Statistical analysis included descriptive statistics, chi‐squared tests, t‐tests, Mann‐Whitney U‐tests and multivariate regression. LC (n = 250) patients were younger with a lower BMI than OC (n = 200) patients. LC was associated with a significantly shorter operative time (p<0.001) and reduced postoperative pain scores (p<0.001). LC also resulted in shorter hospital stays (p<0.001) and higher patient satisfaction levels across all aspects, including surgical approach (p<0.001). Postoperative complications, including wound infection, bleeding and bile leaks, were less frequent in LC, though not always statistically significant. This study reaffirms the advantages of LC in terms of shorter operative times, improved pain management, shorter hospitalization and higher patient satisfaction. While complications did not consistently differ significantly, LC demonstrated a lower incidence. Consideration of individual patient factors and surgeon expertise is crucial in selecting the most suitable approach. This study contributes to the growing body of evidence supporting the preference for LC in the management of symptomatic gallstone disease. Cholecystectomy, laparoscopic cholecystectomy, open cholecystectomy, gallstone disease, postoperative complications, patient satisfaction, surgical outcomes.
How to cite this article:
Ashok Kumar, Sushant Kumar Sharma, Mahima Srivastava and Tauseef Kibria. Complication and Outcome of Laparoscopic vs Open Cholecystectomy: A Retrospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.228.232
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.228.232