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. |
