A Comparative Study of Postoperative Outcomes: Open Cholecystectomy versus Laparoscopic Cholecystectomy
Evaluating Postoperative Outcomes in Gallbladder Surgery
DOI:
https://doi.org/10.69750/dmls.01.05.053Keywords:
Laparoscopic Cholecystectomy, Open Cholecystectomy, Postoperative Outcomes, Cholelithiasis, Operative Time, Hospital Stay, Complications.Abstract
Background: Surgery is usually necessary to treat gallstones, or cholelithiasis. Because laparoscopic cholecystectomy is less intrusive than open cholecystectomy, it is now the treatment of choice.
Objectives: To evaluate and compare the postoperative results of open and laparoscopic cholecystectomies with regard to duration of hospital stay, complication rates, and amount of discomfort experienced during the procedure.
Methods: A prospective comparative study was conducted on one hundred patients with symptomatic cholelithiasis who were to undergo elective cholecystectomy. Patients were randomized into two groups: Among the patients, 50 patients were operated for Laparoscopic Cholecystectomy and 50 for Open Cholecystectomy. The data on the postoperative results of the operation, including the time spent during the operation, as well as the time spent on pain, the length of stay in the hospital, and complications were collected and compared using statistical methods with the chosen level of significance equals to p ≤0.05.
Results: The mean operative time of Laparoscopic Cholecystectomy was less than Open Cholecystectomy (48. 5 ± 12. 4 vs. 68. 5 ± 15. 3 minutes; p≤0.05). The overall postoperative pain was less in patients who undertook Laparoscopic Cholecystectomy with the mean pain period of (18. 3 ± 5.2) hours compared with 30. 7 ± 7. For Open Cholecystectomy patients the time taken was 1 hours. The length of the hospital stay was also lesser in Laparoscopic Cholecystectomy group which was (1.8 ± 1.2) days compared to Open Cholecystectomy group of (4.8 ± 1.5) days. Also, the Laparoscopic Cholecystectomy group had less complication rate at 12% compared to the Open Cholecystectomy at 38% with p ≤0.05
Conclusion: Laparoscopic Cholecystectomy is shown to be more beneficial in terms of postoperative results than Open Cholecystectomy in terms of the operating time, pain, hospital stay, and complications. Thus, these results shows Laparoscopic Cholecystectomy as the most appropriate surgical management for patients with symptomatic cholelithiasis; however, Open Cholecystectomy will still be required for cases that are not suitable for Laparoscopic Cholecystectomy.
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References
Chattopadhyay K, Das R. Laparoscopic and open cholecystectomy: a comparative study. International J Surg Sci. 2020;4(1):427-30.
Pateriya A, Agrawal MP, Samar SK. Open versus laparoscopic cholecystectomy: a comparative study on patient parameters. International Surgery Journal. 2021;8(6):1767-71.
Sanghvi RK. Comparative analysis of open versus laparoscopic cholecystectomy: A comparative study. International Journal of Surgery. 2021;5(4): 212-5.
Hussain NH, Ranjan A, Alam K. A comparative study of the outcome of open cholecystectomy and laparoscopic cholecystectomy at a tertiary centre. Pain (VAS).3(2.6):0.05.
Kumar V, Reddy D, Shekhar C, Sinha M. Open cholecystectomy versus laparoscopic cholecystectomy: A comparative study at north Indian based teaching hospital. European Journal of Molecular and Clinical Medicine. 2021;8(4): 586-92.
Akulwar A, Kamble A, Bhatt N, Mahakalkar C. A comparative analysis between laparoscopic and open cholecystectomy at a tertiary care hospital in patients with acute cholecystitis. Indian Journal of Forensic Medicine & Toxicology. 2021;15(3): 894-9.
Nafea MA, Elshafey MH, Hegab A, Seleem A, Rafat W, Khairy M, et al. Open versus laparoscopic completion cholecystectomy in patients with previous open partial cholecystectomy; a retrospective comparative study. Annals of Medicine and Surgery.10.1097.
Lucocq J, Radhakishnan G, Scollay J, Patil P. Morbidity following emergency and elective cholecystectomy: a retrospective comparative cohort study. Surgical Endoscopy. 2022;36(11):8451-7.doi: 10.1007/s00464-022-09 103-2
Zhao JJ, Syn NL, Chong C, Tan HL, Ng JYX, Yap A, et al. Comparative outcomes of needlescopic, single-incision laparoscopic, standard laparoscopic, mini-laparotomy, and open cholecystectomy: A systematic review and network meta-analysis of 96 randomized controlled trials with 11,083 patients. Surgery. 2021;170(4):994-1003.doi:10.1016/j.surg. 2021.04.004
Singh A, Kaur M, Swaminathan C, Siby J, Singh KK, Sajid MS. Laparoscopic versus robotic cholecystectomy: a systematic review with meta-analysis to differentiate between postoperative outcomes and cost-effectiveness. Transl Gastroenterol Hepatol. 2024;9:3.doi: 10.21037/ tgh-23-56
Kurtulus I, Culcu OD, Degerli MS. Which Is More Effective: Laparoscopic or Open Partial Cholecystectomy? Journal of Laparoendoscopic & Advanced Surgical Techniques. 2021;32(5): 476-84.doi: 10.1089/lap.2021.0300
Comparison Of Open Cholecystectomy And Laparoscopic Cholecystectomy. Journal of Pharmaceutical Negative Results. 2022:388-91.doi: 10.47750/pnr.2022.13.S02.57
Shi Z. Laparoscopic vs. open surgery: A comparative analysis of wound infection rates and recovery outcomes. International Wound Journal. 2024;21(3):e14474.doi:10.1111/iwj.14474
Kamarajah SK, Karri S, Bundred JR, Evans RPT, Lin A, Kew T, et al. Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis. Surgical Endoscopy. 2020;34(11):4727-40.doi: 10.1007/s0 0464-020-07805-z
Shenoy R, Mederos MA, Ye L, Mak SS, Begashaw MM, Booth MS, et al. Intraoperative and postoperative outcomes of robot-assisted cholecystectomy: a systematic review. Systematic Reviews. 2021;10(1):124.doi: 10.1186/s13643-02 1-01673-x
Husnain SS, Feroze F, Rizvi ST, Kashif MM, Kaleem MM, Khan A. COMPARISON OF PATIENT`S RESPONSE IN LAPAROSCOPIC VERSUS OPEN CHOLECYSTECTOMY. Pakistan Armed Forces Medical Journal. 2020;70(1):230-35.
Cremer K, Kloppenberg FWH, Vanhommerig JW, Dijksman LM, Bode N, Donkervoort SC. The effect of surgical strategy in difficult cholecystectomy cases on postoperative complications outcome: a value-based healthcare comparative study. Surgical Endoscopy. 2022;36(7):5293-302.doi: 10.1007/s00 464-021-0 8907-y
Mudhale V, Phatak P, Dige S, Ghate U, Kadalge B. A comparative study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Sri Lanka Journal of Surgery. 2023. doi: 10.4038/sljs.v41i2.9030
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