The Pattern of Complications of Open vs Laparoscopic Cholecystectomy; A Comparative Study

Abstract

Objective:
 To compare the pattern of complications of open vs laparoscopic cholecystectomy
 Materials and Methods:
 A Randomized Controlled Trial was carried out at the Department of Surgery, Khyber Teaching Hospital, Peshawar from January 2019 to July 2019 laparoscopic cholecystectomy. A total of 200 patients (100 in each group) with the indication of cholecystectomy fulfilling the inclusion criteria were subjected to open and laparoscopic cholecystectomy. The complications were observed and plotted in terms of frequencies and percentages; were compared through SPSS (Statistical Package for Social Sciences) version 21.
 Results:
 A total of 200 patients with indication of cholecystectomy were operated on, which were divided into two equal groups. The mean age was 42.14 years ±9.34 2SD. Out of 200 patients, 21% were male while 79% were female. No common bile duct, duodenal or colonic injuries were noticed while wound infection was reported more in the open group (5%). Intraoperative bleeding (02%) and gallbladder perforation (10%) was seen more in the LC group as compared to the open group with a 1% occurrence of such complications.
 Conclusion:
 The open technique will remain valid as long as the laparoscopic technique remains in motion since the laparoscopic technique has shortfalls that are managed by the open approach only. Thus, the importance of both techniques is justified.