ADVANTAGES OF LAPAROSCOPIC SURGERY IN CALCULOUS CHOLECYSTITIS

Abstract

Purpose: The aim of the study is the comparative analysis of the operating time, blood loss during surgery, postoperative discomfort, and pain, hospital stay, cost-effectiveness, and patient satisfaction in patients undergoing laparoscopic cholecystectomy and conventional cholecystectomy in UMHATEM "N.I.Pirogov". Material and Methods: For a one-year period (from 01.01.2018 to 01.01.2019) 512 patients with calculous cholecystitis were operated on the Department of General, Visceral, and Emergency surgery on UMHATEM "Pirogov". In 487 of these cases, laparoscopic cholecystectomy was performed (group I), the remaining 25 cases were treated with conventional cholecystectomy (group II). Women with laparoscopic cholecystectomy (group I) were 392 (75.82%), men 95 (24.18%). From the open surgery cohort (group II), women were 19 (75.41%), men 6 (24.59%). The age in this retrospective analysis varied from 18 to 83 years (average 52.7 years). Results: From group I (lap. cholecystectomy), women were 392 (80.49%), men 95 (19.51%). In group II (open cholecystectomy), women were 19 (76%), men 6 (24%). Age in this retrospective analysis ranged from 18 to 83 years (average 52.7 years) for both groups. There was no significant difference between demographic variables in the two groups. The operating time varied between 23 and 165 min (average 39.4 min) for group I and 35 to 104min (average 44.6min) for group II respectively. The hospital stay was recorded from 48 hours to 7 days (2.7 days on average) for group I and 3 to 9 days (average 4.5 days) for group II respectively. Surgical morbidity included 12 patients (operative wound suppuration, ileus, postoperative hernia, jaundice), 7 from group I (1.44%) and 5 from group II (20%), which was considered a significant difference. Conclusion: Laparoscopic cholecystectomy is an easy intervention, reduced time-consuming procedure, with shortened complication rates compared to open cholecystectomy. It completely debates an advantage of a decreased hospital stay and early return to work compared to open surgery.