CONVENTIONAL OPEN AND MINI CHOLECYSTECTOMY

A COMPARISON IN THE TREATMENT OF GALL STONE DISEASE REGARDING POSTOPERATIVE PAIN, AND HOSPITAL STAY

Abstract

Introduction: Gall stone disease a second commonest abdominal problem after acute appendicitis,
which needs proper and early investigation to reduce the agony and complications of the disease. For acute attacks
of cholecystitis in old days, conservative treatment was recommended. Objective: To compare the conventional open
and mini-cholecystectomy. Material and Methods: Setting: Nishtar Hospital, Multan. Duration: Six months (From Oct
1998 to Mar 1999). Sample Size: 50 cases. Sampling Technique: Purposive, non-probability. Study Design:
Comparative, cross-sectional study. Results: Among 50 patients of gall stone, 8 (16%) were male and 42 (84%) were
female. As regards age, 16 (32%) were of < 40 years, 14 (28%) between 41-50 years and remaining 20 (40%) were
of > 50 years. Out of 50 patients, 32 (64%) patients presenting with pain right hypochondrium, in 14 (28%) patients
presenting complaint was pain epigastrium. In 25 patients of group-A, who were treated conventional open
cholecystectomy; the average hospital stay was 8.66 days with shortest stay of 6 days and longest stay of 10 days. Out
of 25 patients (16 (64%) patients were discharged after 8th day while 4 (16%) patients were discharged after patients
were discharged after 6 days. In the 25 patients of group-B who were treated by minicholecystectomy, the mean
hospital stay was 3.33 days with shortest of 2 days and longest of 5 days. Eight (32%) patients were discharged on 2nd
postoperative day, while 14 (56%) were discharged on the 3rd postoperative day. Conclusion: Mini-cholecystectomy
is associated with less patients discomfort and decreased incidence of postoperative complications.