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TITLE:

A COMPARATIVE STUDY ON POSTOPERATIVE MORBIDITY IN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY

AUTHORS:

Dr Faizan Fatima, Dr Muhammad Adnan Faiz, Dr Muhammad Tanveer

ABSTRACT:

Aim: To compare the postoperative morbidity associated with open and laparoscopic cholecystectomy. Material and methods: The study included 120 patients with cholelithiasis diagnosed in USG. They were divided into two groups. This study was held in the Surgical Unit-II of Jinnah Hospital Lahore for one-year duration from March 2019 to March 2020. Results: The mean age of the patients in group A was 38.6 ± 6.7, and in group B. 38.4 ± 5.7 in group B. In the case of a hospital stay, the mean length of stay in the hospital was 3.7 ± 0.7 in group A versus 1.7 ± 0.5 in group B. p value <0.001. Regarding the number of gallstones, a single stone was present in 12 (20%) patients in the open cholecystectomy group and in 14 (23.3%) patients in the laparoscopic cholecystectomy group. 2-4 stones were present in 20 (33.3%) patients in group A, as in 16 (26.6%) in group B. More than 5 stones were present in 28 (46.7%) patients in group A and 30 (50%) of patients in group B. Postoperative pain and postoperative infection were lower in the laparoscopic group compared to open cholecystectomy. Conclusion: Although both techniques Laparoscopic and open cholecystectomy are quite effective in treating patients with gallstone disease, laparoscopic cholecystectomy has been found to be more reliable with lower complication rates and shorter hospital stay. Key words: gallbladder, open cholecystectomy, laparoscopic cholecystectomy.

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