A Comparative Study of Laparoscopic vs. Open Cholecystectomy at Tertiary Care Hospital

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Sikandar Iqbal, Abbas Ali Raza, Ummesalma Muhammad Rehan, Muhammad Abid Aziz, Dr Muhammad Kashif, Dr Mashhood Alam Khan

Abstract

Introduction: Cholecystectomy, a common gallbladder surgery, which can be performed laparoscopic or open depending on the situation. This study sought to evaluate, in a high care hospital in Mardan, Pakistan, the clinical and financial results of laparoscopic versus open cholecystectomy.


Methodology: 113 persons in all underwent gallbladder surgery. Of these, 45 underwent open operation and 68 underwent laparoscopic surgery. Data on elements including age, surgery length, blood loss, hospital stay, post-operative complications, and expenses were compiled. To examine the outcomes, we applied cost comparisons, chi-square tests, and t-tests among other statistical tools.


Results: Comparatively to the open group, the laparoscopic group had much shorter operating time (50 ± 15 minutes vs. 90 ± 20 minutes, p < 0.0001) and less blood loss (50 ± 10 ml vs. 150 ± 30 ml,). Laparoscopic patients had also far shorter hospital stays (2 ± 0.5 days vs. 5 ± 1 day, p = 0.0001). With 13.2% in the laparoscopic group instead of 35.6% in the other group (p = 0.0103), the risk of complications was reduced in the open surgery group. With a considerable difference shown by p < 0.0001, the average cost for laparoscopic cholecystectomy was substantially less


Conclusion: Laparoscopic cholecystectomy provides clear benefits compared to open cholecystectomy.  It takes less time to operate, generates less blood loss, requires a shorter hospital stay, has fewer difficulties following surgery, and is more cost-effective.  These data suggest that laparoscopic cholecystectomy is the best choice for gallbladder treatment since it gives superior health results and saves money.

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