Minimally invasive procedures, laparoscopic cholecystectomy (LC) and Mini-Laparotomy ( ML), have largely replaced the traditional cholecystectomy. However, advantages and disadvantages of mini-laparotomy surgery in relation to laparoscopic cholecystectomy are still questionable. Many studies comparing both technique ML, and LC show no differences.in absence of clear evidence indicating which technique is better it was interesting to conduct this study in order to know which technique was better. The aim of our study was to compare the short term outcomes of laparoscopic cholecystectomy (LC) with the minilaprotomy cholecystectomy (ML) for treatment of gallstones.
Methods: In this prospective study, patients with gallstones that were referred and enrolled in the study for elective LC or ML between October 2013 and October 2014 at Sohag university hospital, Egypt; Operation, anesthesia, rescue analgeMLs and postoperative care were standardized. The patients were assessed for operation time, postoperative pain, hospital stay and complications in the postoperative period on day 1, 1 week, 1 month and 3 months, postoperatively.
Results: Of 220 patients, 110 underwent LC and 110 underwent ML between October 2013 and October 2014 at sohag university hospital sohag in Egypt. In laparoscopic cholecystectomy group (LC) 91OF 110 PATIENTS were female and in mini laprotomy group (ML) 75 of 110 were female (p value.018). The patient's age for LC Group was 37.34±10.88 and for ML group was 32.60±10.55 (p value0.558). As regard operative time the mean operative time for ML group was 42.3182±14.66252 which is significantly lower than LC 52.1364 ± 19.52955(p value0.018). No stastically detected significant different in both group as regard hospital stay, intraoperative, postoperative complication, mortality rate, conversion rate,CBD injury or post-operative pain .
Conclusion: The result of ML was comparable to LC but we recommend using ML in in our hospitals as the method of choice for most of the patients due to low cost rate as well as our limited resources.
Key words: Gallstone,Laparoscopic cholecystectomy, mini laprotomy cholecystectomy, Complications