Clinical Outcomes of Laparoscopic Cholecystectomy in Prasat Hospital
Keywords:
Laparoscopic cholecystectomy, Gallstones, Clinical outcomes, Minimal invasive surgeryAbstract
Objective: To evaluate the clinical outcomes of laparoscopic cholecystectomy and compare them with open cholecystectomy at Prasat Hospital, Surin Province.
Method: A retrospective observational study was conducted by reviewing medical records of patients who underwent cholecystectomy between August 2023 and March 2025, comprising 80 patients divided into laparoscopic cholecystectomy group (n=58) and open cholecystectomy group (n=22). Data were analyzed using independent t-test, Mann-Whitney U test, chi-square test, or Fisher's exact test with significance level at p-value<0.05.
Results: The study included 80 patients who underwent cholecystectomy, with 72.5% receiving laparoscopic surgery and 27.5% undergoing open surgery. The majority of patients were female (72.4% in LC group, 81.8% in OC group) with mean ages of 51.3±16.0 and 54.3±13.6 years respectively. The laparoscopic cholecystectomy group had a conversion rate of 10.3%, primarily due to adhesions (6.9%), bleeding (1.7%), and severe inflammation (1.7%). Although laparoscopic cholecystectomy required significantly longer operative time (103.5±42.1 versus 34.9±21.2 minutes, p-value<0.01) and anesthesia time (151.0±40.5 versus 71.4±23.8 minutes, p-value<0.01), it demonstrated several clinical advantages. These included significantly less blood loss (median 5 versus 50 milliliters, p-value<0.01), reduced opioid analgesic consumption (median 0 versus 10 milligrams, p-value<0.01), and shorter length of hospital stay (median 3 versus 4 days, p-value<0.01). The complication rates showed no significant difference between the two groups (12.1% versus 9.1%, p-value =0.72). Pathological findings revealed chronic cholecystitis as the most common diagnosis in both groups (65.5% in LC, 77.3% in OC).
Conclusions: Laparoscopic cholecystectomy at Prasat Hospital demonstrated superior clinical outcomes compared to open cholecystectomy in terms of reduced blood loss, decreased postoperative pain, and faster recovery. These findings indicate that medium-sized hospitals can safely and effectively provide laparoscopic surgical services.
Keywords: Laparoscopic cholecystectomy, Gallstones, Clinical outcomes, Minimal invasive surgery
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