LAPROSCOPIC VERSUS MINICHLOECYSTECTOMY
Keywords:
Laparoscopic, cholecystectomy, Mini-cholecystectomy, conventional,, cholecystectomy.Abstract
Objective: To know the out come of Leproscopic versus Minichloecystectomy.
Material and Methods: This study was conducted in Surgical C Unit, Khyber Teaching Hospital, Peshawar from January 2012 to October 2012. Hundred patients were randomly divided into group A undergoing laparoscopic
cholecystectomy and group B undergoing mini-cholecystectomy. The study was designed as quasi-experimental. Visual analogue score (VAS) of 10 points was used to measure the pain intensity. Data was collected on prescribed proforma and analyzed using SPSS 17.
Results: Mean hospital stay was not statistically different. Mean visual analogue score (VAS) for pain was 4.5±2.002 in group B and it was 4.36±1.33 for group A in 1st 24 hours (p-value 0.42). 22% of patients had Postoperative nausea and vomiting in group B while 18% of patients in group A. There were 8% of patients with gall bladder perforation in Group B and 24% in group A. Bleeding of gallbladder fossa was 6% and 18% in group B and group A respectively.
Conclusion: Lap-cholecystectomy is not different from mini cholecystectomy in our setup which can be improved by structured training and use of modern simulators.
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