Abstract: Background: Laparoscopic surgery has impelled a colossal unrest in the treatment of gallbladder malady. Surgery has been generally viewed as the last helpful resort for symptomatic cholelithiasis before the appearance of laparoscopy, though lithotripsy and cholecystostomy have been regularly supported as less obtrusive choices. In the period of negligibly intrusive surgery, signs for surgery have turned out to be more liberal, bringing about a gigantic ascent in the quantity of laparoscopic cholecystectomies performed yearly. The laparoscopic system has been appeared to offer the benefits of diminished torment, shorter strengthening, lessened agent stretch and restricted provocative reaction
Objective: To determine the incidence of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) and some of their possible outcomes (complications, mortality).
Methods: systemic review and Meta-analysis type of study, we preformed searching through the US National Library of Medicine (Pubmed), the following criteria had to be met for the publication to be selected will include all studies that were conducted in the past 30 years, Prospective and retrospective studies which provided outcome data on patients aged 10-70 years or older who were undergoing cholecystectomy.
Results: In one of the study we analyzed there were 100 consecutive laparoscopic cholecystectomies with no deaths and a morbidity rate of 8% (8 of 100 patients; 4 major, 4 minor). There were 81 women and 19 men, with a mean age of 46.1 years (range, 17 to 84 years). All patients had a preoperative history consistent with symptomatic biliary tract disease, and most had proved gallstones by sonography. This included four patients with acute cholecystitis.
Conclusion: Laparoscopic cholecystectomy quickly emerged as an alternative to open cholecystectomy. However its safety, efficacy, and morbidity have yet to be fully evaluated. laparoscopic cholecystectomy is a safe and effective procedure that can be performed with minimal risk. Laparoscopic cholecystectomy should be performed by surgeons who are trained in biliary surgery and knowledgeable in biliary anatomy, and, as with all operations, it should be performed with meticulous attention to technique.
Keywords: Laparoscopic cholecystectomy (LC), open cholecystectomy (OC).
Title: A Comparison of Open Cholecystectomy Surgical Method with the Laparoscopic One
Author: Raed Fahad Abdullah Al-Otibi, Noor Jawad Ahmed Al-Juied
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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