Indian Journal of Public Health Research & Development

Chandra Prakash ¹, Sohan Pal Singh ¹, Atul Vats ², Veer Kavita ³, Usha Singh ⁴

Affiliations
1 L.L.R.M Medical College, Meerut, IN
2 Deptt. of Surgery L.L.R.M Medical College, Meerut, IN
3 Deptt. of Surgery L.L.R.M, Meerut, IN
4 LLRM Medical College, Meerut, IN

Abstract

Before 1987, when Mauret from France performed the first human Laparoscopic Cholecystectomy, open Cholecystectomy was considered the gold standard for performing Cholecystectomy. But as the technique grew & with wide acceptance of laparoscopy, Laparoscopic Cholecystectomy became the gold standard for Cholecystectomy. This study is done to evaluate our technique of Laparoscopic Cholecystectomy in terms of hospital stay, post-op pain & complications in patients of acute/chronic Cholecystitis with Cholelithiasis. All case of acute/chronic Cholecystitis with Cholelithiasis who presented in emergency/O.P.D of Surgery from July 2004 to 30th June 2010 (n= 141). Data regarding age group, sex, acute versus chronic, time taken(average operative time), conversion rate & reason for conversion, complications were obtained during the hospital stay & subsequent follow up of patients. Cholelithiasis was more commonly found in middle age group (4th decade)&majority of patients were female. Majority of patients had chronic Cholecystitis with Cholelithiasis (Acute:Chronic = 1: 10.75). Average operative time was one to one & half hour in the initial years & it decreased to thirty minutes in non acute eases & about one hour in acute cases. Ten (10) cases were converted to open Cholecystectomy due to bleeding & major complication^) like bile duct injury was observed in two{2} patients. This study suggests that Laparoscopic Cholecystectomy is far more superior to open Cholecystectomy in terms hospital stay, post-op pain, return to work & lesser incidence of wound infection.

Keywords

Cholelithiasis, Cholecystitis, Laparoscopic Cholecystectomy

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Sohan Pal Singh ¹, Usha Singh ¹, C. P. Singh ¹, Jitender Chaturvedi ¹, Chander Shekhar ¹

Affiliations
1 LLRM Medical College, Meerut, UP, IN

Abstract

Cholecystectomy is the surgical removal of the gallbladder. It is the most common method for treating symptomatic gallstones. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. A traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 8-10 cm incision. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications to the laparoscopic approach. The operation usually requires general anaesthesia and is subject to the same risks and complications as open cholecystectomy. However, patients have little pain after the operation, and hospital stays (1-2 days) and recovery (1-2 weeks) are usually shorter than after open cholecystectomy. So, the purpose of the study is the usefulness of laparoscopic cholecystectomy in the treatment of symptomatic cholelithiasis in present set up of LLRM Medical College&Hospital, Meerut. Operations were performed by consultant surgeons or senior residents under their direct supervision, all having sufficient skills and experience in both types of procedures. Laparoscopic cholecystectomy did not differ much from open cholecystectomy regarding mortality, major complications and bile duct injuries. However, laparoscopic cholecystectomy leads to shorter incisional wounds; lesser incidence of post operative wound infections and seems to be associated with a shorter hospital stay and hence faster return to work. These seems the reasons for laparoscopic cholecystectomy being the preferred method of choice above open cholecystectomy

Keywords

Cholelithiasis, Cholecystitis, Open & Laparoscopic Cholecystectomy

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Usha Singh ¹, Sohan Pal Singh ², Arati Srivastava ³, Gita Deshmukh ³, Ashutosh Niranjan ³, Hemant Kumar Singh ³

Affiliations
1 Department of Obsterisc & Gynaecology, Saraswati Institute of Medical Sciences, Hapur, UP, IN
2 Department of Surgery, Saraswati Institute of Medical Sciences, Hapur, UP, IN
3 Saraswati Institute of Medical Sciences, Hapur, UP, IN

Abstract

No Abstract

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