Comparative study for conventional and laparoscopic cholecystectomy

الملخص EN

Cholecystectomy, the surgical removal of gallbladder, is one of the most frequently performed operations as a common therapy for gall bladder disorders.

This study was conducted to compare the conventional and laparoscopic method of cholecystectomy at the Surgical Department of Al-Gamhouria Teaching Hospital during the period from January 1st to December 31st, 2007.

This is a comparative hospital-based study conducted for a period of one year, from January 1st , 2007 to December 31st, 2007.

The study population included all adult patients operated for cholecystectomy at the study area and during the study period.

The variables used were sex, age, clinical risk factors, operation time, complications and hospital stay.

Quantitative data were tested by the student t-test for two means, while qualitative data were tested by the Chi-square test, the Fisher exact test and the Z-test.

Statistical tests were applied with 95% confidence limits and p-value of <0.05 were considered statistically significant.

Cholecystectomy was performed for 146 patients (72 by CC and 74 by LC), the females to males ratio was (6.3:1) and the common age operated was the fifth decade (40-49 years) 56.8%.

The mean operation time was 149 min for CC vs.

48 min for LC.

Morbidity, during and after CC, was higher than that of LC (38.9% vs.

9.5%, p=0.00003).

Mortality was reported for one patient operated by CC, but none for LC.

The mean postoperative hospital stay was 9.7 days for CC vs.

2.4 days for LC.

LC is a safe surgical technique, with shorter postoperative hospital stay and better perioperative morbidity and mortality.

Complete Laparoscopic operation units should be available for training, and therapeutic pruposis should be available in this teaching hospital.