Comparative Study between Open cholecystectomy and Three port Laparoscopic cholecystectomy in Chatturat rural Hospital.
Keywords:
Symptomatic gallstone, Open cholecystectomy, Three-Port Laparoscopic cholecystectomy, Intraoperative blood loss, Post operativepain, Post operative hospital stayAbstract
Background:Laparoscopic cholecystectomy is feasible and popularly. Nowaday, It is cinsidered as a one of standard operation due to there are additional advantage compare with Open cholecystectomy (OC)
Objective:To compare operation time, blood loss, post of pain at 2 hrs, 4 hrs, 8 hrs, 24 hrs and 48 hrs post of hospital stay between Open cholecystectomy (OC) and Three-Port Laparoscopic cholecystectomy (Three-port LC) in Chatturat hospital, Chaiyaphum province.
Study design: Retrospective analysis study
Material and Methods:review case from medicalrecords of 60 patients who operated Open cholecystectomy (OC) and Three-Port Laparoscopic cholecystectomy (Three-port: LC) due to symptomatic gallstone in Chatturat hospital between October 2011 – October 2015. These patients were divided in two groups equally. 30 patients were operated by Open cholecystectomy (OC) and 30 patients were operated byThree-Port Laparoscopic cholecystectomy (Three-port: LC). Demographic and baseline characteristic of the patient, operation time, postoperative pain at 2,4,8,24 and 48 hrs. and length of hospital stay were collected and analyzed . Frequency, Percentage, Mean, Standard deviation(SD), Median, Maximum and Minimum and also Mann-Whitney Test and Chi- square test were used for statistical analysis
Result: There were no difference sex, age, BMI, ASA between three-Port Laparoscopic cholecystectomy (three-Port: LC) and Open cholecystectomy (OC) (p-value>0.05) Operative time in Open cholecystectomy (OC) is shorter than Three-Port Laparoscopic cho;ecystectomy (Ther-Port: LC) significantly (p<0.001). Intraoperative blood loss. post operative pain, hospital stay in Three-port Laparoscopic cholecystectomy (Three-port: LC) is less than Opan cholecystectomy (OC) significantly (p<0.001)
Conclusion: Three-port LC is less intraoperative blood loss, less post operative pain score, and shorter hospital stay than Open cholecystectomy (OC)
References
Stiltmimankarnt T. Gallstones in autopsy. Siriaijhosp Gas 1966; 18:7-17.
Vidal O, Valentini M, Ginesta C, Espert JJ, Martinez G, etal. Single-Incision Versus Standard LaparoscopicCholecystectomy:Comperision of Surgical Outcfomes from a Single Institute. J LaparoendoseAdvSurg Tech A 2011;21:683-6.
Dubios F, Icard P, Berthelot G, Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann surg 1990;211:60-2.
วชิระ โรจน์พิศาลวงศ์. การส่องกล้องผ่าตัดถุงน้ำดี. วชิรเวชสาร 2534 ;35: 35-8.
Soper NJ, Barteau JA, Clayman RV, Ashley SW, Dunnegan DL. Comparison of early postoperative result for laparoscopic versus standard open choleccysteetomy. SurgGynecolObstet 1992;174 : 114-8.
Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy. Experience with 375 consecutive patients. Ann Surg1991 ; 214 :531 – 40.
SalkyBA . Laparoscopic for surgeons . 1sted. New York ; IGAKU-SHOIN, 1990: 1-16.
Thomas T, Robinson C, Champion D, Mokell M. Prediction ans assessment of the severity of post-operative ain and satisfaction with management . Pain 1998 ; 75 : 177-85.
American Society of Anesthesiogists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiogists Task Force on Acute Pain Management. Anestheiology 2004;100:1573-81.
Trichak S. Three-port vs standard four – port laparoscopic cholecystectomy . SurgEndosc2003 ; 17:1434-6.
Al-Azawi D, Houssein N, Rayis AB, McMahon D, Hehir DJ. Three-port versus four-port lapascopiccholeccystectomy in acute and chronic cholecystitis . BMC Surg 2007;7;8.
Poon CM, Chan KW, Ko CW, Chan KC, Lee DW, Cheung HY, et al. Two-port laparoscopic cholecystectomy: initial results of a modified technique. J LaparoendoscAdvSuurg Tech A 2002;12:259-62.
Lee PC, Lai IR, Yu SC. Minilaparoscopic (needlescopic) choleccystectomyA study of 1,011 cases. SurgEndosc 2004; 18: 1480-4.
Hirano Y, Watanabe T, Uchida T, Yoshida S, Tawaraya K, Kato H, et al. Single-incision laparoscopic choleccystectomy : Single institution experience and literature review . World J Gastroenterol 2010;16:270-4.
Deziel DJ, Millikan KW, Economou SG, et al. Complications of laparoscopic cholecystectomy. A national survey of 4,292. Hospitals and an analysis of 77,604 cases. Am J Surg 165:9-14
Hannan EL, Imperato PJ, Nenner RP, et al. Laparoscopic and open cholecystectomy in New York State: mprtality, complications, and choice of procedure. Suegery 125:223-231
Majeed AW, Troy G, Nicholl JP, et al. Randomised, prospective, single-blind comparisoin of laparoscopic versus small-incision cholecystectomy. Lancet 1996; 347: 989-994
McMahon AJ, Russell IT, Baxter JN, et al. Laparoscopic versus minilaparotomy cholecystectomy: a randomized trial. Lancet 1994; 343: 135-138
Trichak S. Three-port vs standard four-port Laparoscopic cholecystectomy .SurgEndosc 2003; 17:1434-6.
Al-Azawi D, Houssein N, Rayis AB, McMahon D, Hehir DJ. Three-port versus four-port laparoscopic cholecystectomy in acute anscholecystitis . BMC Surg 2007;7:8.
Kumar M, Agrawal CS, Gupta RK. Three-port versus standard four-port laparoscopic cholecystectomy: a randomized controlled clinical trial in community-based teaching hospital in eastern Nepal. JSLS 2007;11:358-62.
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