CONVENTIONAL OPEN AND MINI CHOLECYSTECTOMY

Introduction: Gall stone disease a second commonest abdominal problem after acute appendicitis,which needs proper and early investigation to reduce the agony and complications of the disease. For acute attacksof cholecystitis in old days, conservative treatment was recommended. Objective: To compare the conventional openand mini-cholecystectomy. Material and Methods: Setting: Nishtar Hospital, Multan. Duration: Six months (From Oct1998 to Mar 1999). Sample Size: 50 cases. Sampling Technique: Purposive, non-probability. Study Design:Comparative, cross-sectional study. Results: Among 50 patients of gall stone, 8 (16%) were male and 42 (84%) werefemale. As regards age, 16 (32%) were of < 40 years, 14 (28%) between 41-50 years and remaining 20 (40%) wereof > 50 years. Out of 50 patients, 32 (64%) patients presenting with pain right hypochondrium, in 14 (28%) patientspresenting complaint was pain epigastrium. In 25 patients of group-A, who were treated conventional opencholecystectomy; the average hospital stay was 8.66 days with shortest stay of 6 days and longest stay of 10 days. Outof 25 patients (16 (64%) patients were discharged after 8th day while 4 (16%) patients were discharged after patientswere discharged after 6 days. In the 25 patients of group-B who were treated by minicholecystectomy, the meanhospital stay was 3.33 days with shortest of 2 days and longest of 5 days. Eight (32%) patients were discharged on 2ndpostoperative day, while 14 (56%) were discharged on the 3rd postoperative day. Conclusion: Mini-cholecystectomyis associated with less patients discomfort and decreased incidence of postoperative complications.