Publications of Faculty of Medicine:Comparative Study Between Open Cholecystectomy And Laparoscopic Cholecystectomy: Abstract

Comparative Study Between Open Cholecystectomy And Laparoscopic Cholecystectomy
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In this study, the results of 350 patients underwent laparoscopic cholecystectomy (L.C.) were compared with those of 420 patients on whom open cholecystectomy (0.C.) was performed, in Benha University Hospital. 4 Laparoscopic cholecystectomy patiets included cases presented as symptomatic chronic calcular cholecystitis (96.3%) and acute cholecystitis (3.7%), while (0.C.) patients included cases with both chronic (74%) and acute cholecystitis (18.6%) and common bile duct stones (7.4%). The mean operative time was significantly longer in (L.C.). This procedure was completed in 325 out of 350 patients, while converted to open in 25 patients (7.1%), with fewer complications in 20 patients (5. 7%). The mean post operative stay was significantly shorter in (L.C.). No mortality was reported in both groups while the complication rate was (5.7%) in (L.C.) & (9%) in (0.C.). It is concluded that (L.C.) is considered the best choice for treatment of gall bladder diseases, since it is safe effective technique even in some difficult cases and its complications can be prevented by proper patient selection.