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A COMPARISON BETWEEN CONVENTIONAL & LAPAROSCOPIC CHOLECYSTECTOMY WITH RELATED COMPLICATIONS, PAIN, ANALGESIC & ANTIBIOTIC REQUIREMENT

Dr. Habib Ullah Sajid, Dr. Ulfat Hassan, Dr. Asad Masood Khokhar

Background and Objectives: There is a rapid establishment of laparoscopic cholecystectomy (LC) popularity over conventional open cholecystectomy (OC) with a debate on the topic of effectiveness and safety aspects. Therefore, the aim of our research is to draw a comparison of both approaches with respect to procedural durations, postoperative pain, postoperative complications, antibiotic requirement, analgesic requirement, normal diet resumption and duration of hospitalization. Material and Methods: We completed this comparative research study in the timeframe of April to December 2017 at Services Hospital, Lahore (Medicine Department). Our research sample population consisted of fifty acalculous cholecystitis/ acute calculous patients which were diagnosed through ultrasonography. Patients experienced at least one upper abdominal pain attack; such patients of both male and female gender became a part of the research sample for onward investigations. Results: The most involved age racket was of the fifth decade especially among the female population with the most repeated pain incidence of abdomen RUQ. Every patient had a presentation of gallbladder stones as observed through ultrasonography. In terms of procedural duration, the LC took more time than OC with respective time duration of 120 minutes and 90 minutes. There were eight percent cases of conversion from LC to OC. LC operated cases were more frequent in postoperative morbidity. LC group required less amount of analgesic and antibiotic than OC group. Diet resumption was also earlier among the patient of LC than OC (two days earlier); whereas, hospitalization was also less in the patients treated with LC than OC (four days difference). Conclusion: Outcomes portray about the acalculous cholecystitis/ acute calculous incidence dominance in the female population. The most frequent presentation was also available in the age bracket of the fifth decade with abdomen pain symptoms. Most common diagnostic tool was ultrasonography. Laparoscopic cholecystectomy takes a fewer analgesic & antibiotic, hospitalization, pain leading to disability, better cosmesis and wound infection than open cholecystectomy. Whereas, the operative time period was more in laparoscopic cholecystectomy than open cholecystectomy which can possibly be reduced through better and increased learning session and experience. Keywords: Acalculous Cholecystitis, Acute Calculous, Ultrasonography, Abdominal, Analgesic, Antibiotic, Laparoscopic Cholecystectomy (LC) and Open Cholecystectomy (OC).

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