CLINICAL EVALUATION OF OPEN AND VIDEO-LAPAROSCOPIC CHOLECYSTECTOMY PROCEDURES

Abstract

In this prospective study, 66 cases of Video-Laparoscopic Cholecystectomy (VLC) and 100 cases of Open Cholecystectomy (OC) performed at our clinic between 1992-1995 have been investigated.

The change in the patients' choice of VLC or OC with time, factors affecting their choices, presence of social security coverage, need for post-operative analgesics, timing of postoperative oral alimentation, hospitalization period, operation time, application of drainage and nasogastric aspiration, morbidity and mortality, presence of concomitant diseases and their effects on the results, and conversion to the OC have been compared in two groups of patients.

In 1994 a decrease in the ratio of VLC was observed. Patients covered by social security significantly favored VLC (p<0.001). Significant superiority of VLC was evident in postoperative use of analgesics (p<0.001), starting time of post-operative oral alimentation (p<0.001), hospitalization period (p<0.001), and drainage (p<0.001). OC was superior in operation time (p<0.001) and in concomitant diseases diagnosed during the operation (p<0.05).

Concomitant diseases such as hypertension, atherosclerotic cardiac diseases, diabetes mellitus, chronic obstructive lung disease, haven't affected the results in both groups except for the hospitalization period in OC group (p<0.001).

No difference has been found between the two groups in operative and post-operative morbidity.

The ratio of conversion to OC in VLC group was found to be 4.5 %.