Laparoscopic Cholecystectomy in Phichit Hospital In 2003 - 2005

Abstract

A retrospective study of patients elective case who were diagnosed as gall stone and treatment by surgery in Phichit  hospital during 2003 to 2005. Total number of patients were 214. Number of male patients were 61 (28.50%), female patients 153  (71.50%). First group 114 patients (53.27%) were treated by open cholecystectomy and second group  100  patients  (46.73%) were treated  by  laparoscopic cholecystectomy. To  compare open cholecystectomy  with laparoscopic cholecystectomy. The result, operation time of open cholecystectomy and laparoscopic cholecystectomy were 85.65 min., 88.42 min., respectively. Post operation  stay   was shorter in laparoscopic cholecystectomy. (3.53 vs 8.05) One patient died because of acute myocardial infraction on post operation. Total mortality rate were 0.47%, complication of open cholecystectomy and laparoscopic cholecystectomy were 3.27%, 4.21%, respectively. There  were 10 patients (4.67%) failed  laparoscopic cholecystectomy conversion to open  cholecystectomy. In conclusion : there is an increasing trend in laparoscopic cholecystectomy recently, because of smaller surgical wound, less  operative  pain,  shorter post operation stay, and cosmetic better than  open  cholecystectomy.