Abdul Manan, Farrukh Aftab, Irfan Ahmed.
Conventional open and mini cholecystectomy.
Professional Med J Jan ;14(2):212-7.

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 attacks of cholecystitis in old days, conservative treatment was recommended. Objective: To compare the conventional open and mini-cholecystectomy. Material and Methods: Setting: Nishtar Hospital, Multan. Duration: Six months (From Oct 1998 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%) were female. As regards age, 16 (32%) were of < 40 years, 14 (28%) between 41-50 years and remaining 20 (40%) were of > 50 years. Out of 50 patients, 32 (64%) patients presenting with pain right hypochondrium, in 14 (28%) patients presenting complaint was pain epigastrium. In 25 patients of group-A, who were treated conventional open cholecystectomy; the average hospital stay was 8.66 days with shortest stay of 6 days and longest stay of 10 days. Out of 25 patients (16 (64%) patients were discharged after 8 day while 4 (16%) patients were discharged after patients the were discharged after 6 days. In the 25 patients of group-B who were treated by minicholecystectomy, the mean hospital stay was 3.33 days with shortest of 2 days and longest of 5 days. Eight (32%) patients were discharged on 2nd postoperative day, while 14 (56%) were discharged on the 3 postoperative day. Conclusion: Mini-cholecystectomy rd is associated with less patients discomfort and decreased incidence of postoperative complications.

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