A comparative study of laparoscopic vs open cholecystectomy at Ghurki Trust Teaching Hospital,Lahore

This study is planned to compare the merits and demerits between laparoscopic cholecystectomy and open cholecystectomy. methodology: this study was carried out in the department of surgery at ghurki trust teaching hospital,lahore. a total of 50 patients with both sexes were included who presented with the diagnosis of cholelithiasis on the basis of usg and were divided into two groups i.e. 25 patients had laparoscopic cholecystectomy and 25 with open cholecystectomy. inclusion criteria: both sexes of age 12 - 65 years with diagnosis of cholelithiasis on usg were included in the study. exclusion criteria: all patients with obesity (grade ii and iii),history of previous upper abdominal operation,empyema,peritonitis,cbd stones,obstructive jaundice,cholangitis,pancreatitis,pregnancy,cirrhosis and renal failure were excluded from the study. results: laparoscopic cholecystectomy and open cholecystectomy both provide safe and effective treatment for most patients with gallstones. laparoscopic cholecystectomy requires the additional skill of a trained surgeon and its safe performance seems to be related to proper training and experience. operating time in laparoscopic cholecystectomy is longer than open cholecystectomy. injectable analgesia requirement is more in open cholecystectomy. laparoscopic cholecystectomy is probably better than open cholecystectomy in terms of improved post op recovery. there is significant reduction in the incidence of post op pulmonary complications with laparoscopic cholecystectomy as compared to open cholecystectomy,wound related complications are also much less in laparoscopic cholecystectomy. there is no incidence of bile duct injury in both open cholecystectomy and laparoscopic cholecystectomy. conclusion: laparoscopic cholecystectomy is the procedure of choice for patients with symptomatic gallstones in many centers even in pakistan.