Comparative Analysis of Laparoscopic and Open Surgery for Gallbladder Disease
Keywords:
Cholecystitis; Laparoscopic cholecystectomy; Open cholecystectomy, post-operative complications; quality of life.Abstract
Background: Laparoscopic cholecystectomy is a procedure frequently performed worldwide by general surgeons. In a significant number of cases, it is performed on elderly patients with cholecystitis.
Objective: This study was focused on assessing and comparing outcomes related to laparoscopic and open Surgery for patients with gallbladder disease.
Patients and methods: A cross-sectional study were conducted for patients who underwent cholecystectomy, which included 155 patients whose ages ranged from <35 years to 50 years of age in different hospitals in Iraq for a period between July 14, 2022, to August 26, 2023. The clinical data of the patients were determined, and they were divided into two groups, where group A included 80 patients and group B included 75 patients. This study was conducted between both surgeries, which are laparoscopic cholecystectomy and open cholecystectomy, by recording the rate of complications, assessing the degree of pain, and evaluating the quality of life of patients after surgery.
Results: In comparison between the two surgeries, the intraoperative data recorded that the duration of laparoscopic cholecystectomy surgery was (56.14 ± 11.88) minutes and the duration of open cholecystectomy surgery was (84.36 ± 15.78), the rate of patients who had blood loss was 18 in group A and 29 patients in group A. B, the duration of hospital stay was 3.2 ± 0.3 days and 5.8 ± 0.7 days, and the death rate in group A was 0 cases while group B got 2 cases. Regarding the results after the two kinds of operations, our study recorded the rate of postoperative complications, which shows that there were 15 patients who had postoperative complications in group A, while in group B, 25 patients were included, and the most common complications were wound infection and bleeding.
Conclusion: The current study indicates that laparoscopic cholecystectomy surpasses open cholecystectomy in the management of gallbladder disease because it presents less postoperative pain and a more accepted and preferred aesthetic result by patients.
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References
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