LAPAROSCOPIC OR CONVENTIONAL CHOLECYSTECTOMY FOR SYMPTOMATIC CHOLELITHIASIS

Objective: In this research study we compare the result of conventional open to laparoscopic cholecystectomy on the basis of duration and positive result on patient after surgery. Methodology: This research study is done in five years from January 2014 to December 2018 four hundred cholelithiasis patient participate in this study 200 patients treated with open and 200 patients was treated with Laparoscopic cholecystectomy. During surgery we noted the duration and positive parameters of both surgery and also determine advantages & disadvantages of both procedures. All 400 patients were equally divided in 2 groups one OC for open cholecystectomy & 2nd LC for laparoscopic cholecystectomy. Results: The surgery time of LC was shorter than OC patients the duration of surgery in OC was 54.16 +/- 11.94 minutes & in LC was 46.89 +/- 14.83 minutes' p values are greater than 0.001. The OC group surgery was fifty point Jive percent complicated as compared to LC it was thirty-seven percent as well as all negligible and extensive problems with joined morbidity of forty-three point seventy-five percent p value is greater than 0.001. The hospital stay was also longer in OC group with respect to LC group i.e. 5.56 +/- 9.8 (range 4-10) days vs. 3.02 +/- 1.75 (range 1-5) days respectively. OC patient take longer time to return it routine work with respect to LC i.e. 31.61 +/- 7.6 days (range three-six weeks) & 18.06 +/- 5.16 days (range one-four weeks) respective p<0.001. Conclusions: The LC is more admirable & good to OC due to short operational duration, early unrest & fast return, decrease the duration of pain & less complicated, decrease in bed rest & patients able to return it routine work in short time.