Open versus minicholecystectomy: Comparative prospective randomized controlled trial in the management of cholelithiasis

Aim: to compare the outcome of mini cholecystectomy with open conventional cholecystectomy in the management of cholelithiasis. methods: this was a randomized controlled trial,conducted in the department of surgery,lahore general hospital/post graduate medical institute,lahore. a total of 100 cases; 50 cases in each group was included in the study. 100 patients were admitted from opd of lahore general hospital lahore fulfilling inclusion criteria. demographic information was recorded. all admitted patients were diagnosed on the basis of history,clinical examination and relevant investigations. written consent was obtained. data entry and analysis was done by using spss 11. data was analyzed according to the proposed analysis plan. results: mean age of all patients was 39.96±3.84 years. age range of patients was 30-48 years. in group-a mean hospital stay was 5.38±1.15 and in group-b mean hospital stay was 3.02±0.58 days respectively. at 1st visit 14(28%) patients in group-b and only 1(2%) patient in group-a had wound infection. according to pvalue wound infection was significantly associated with treatment group. patients in group-a had less infection rate as compared to group-b patients. i.e.,(p-value=0.000) whereas at 2nd visit 8(16%) patients in group-b and 3 patients in group-a suffered from wound infection. at 2 nd visit wound infection was statistically same in both treatment groups. i.e.,(p-value=0.110). it was observed that in group-b only 44(88%) of the patients had severe pain whereas only 12(24%) of the patients in group-a had severe pain. keeping in mind this results rate of severe pain at 12 th hour was high in group-b patients as compared to group-a patients. conclusion: mini cholecystectomy is effective and associated with less patients discomfort in terms of post operative pain and infection as well as with less hospital stay.