Laproscopic versus Minichloecystectomy

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.