Open cholecystectomy versus laparoscopic cholecystectomy: A comparative study

Aim: to compare the frequency of post-operative wound infection in patients with cholelithiasis undergoing laparoscopic cholecystectomy versus open cholecystectomy. methods: this was a randomized clinical trial consisting of 100 patients undergoing cholecystectomy randomized in two groups - 50 patients in group lap (laparoscopic cholecystectomy) and 50 patients in group open (open cholecystectomy) results: this study consisted on 100 patients. 50 patients were underwent for laparoscopic cholecystectomy 50 were underwent for open cholecystectomy. frequency of wound infection is much less 6% in lap group as compare to open group as 22%. mean duration of hospital also muss less in lap group as compare to open group. conclusion: the results support the view that laparoscopic cholecystectomy is a safe and justified replacement for open cholecystectomy. there is a definite learning curve for surgeons who are newly exposed. the complication rates reduced as the surgeons become more experienced in this procedure to a level comparable with that of open cholecystectomy. conclusion: the study supports the view that laparoscopic cholecystectomy is safer and efficacious and offers definitive advantages over open cholecystectomy and should be an available option for all patients requiring elective cholecystectomy. laparoscopic cholecystectomy can be considered the gold standard against which other procedures have to be compared.