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Open versus laparoscopic cholecystectomy: a retrospective comparative study.

M T Glinatsis1, J P Griffith, M J McMahon

  • 1University Department of Surgery, Leeds General Infirmary, England.

Journal of Laparoendoscopic Surgery
|April 1, 1992
PubMed
Summary

Laparoscopic cholecystectomy resulted in fewer complications and shorter hospital stays compared to open cholecystectomy. Patients undergoing the laparoscopic procedure also required significantly less postoperative pain medication.

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Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Minimally Invasive Procedures

Background:

  • Gallstone disease management often involves cholecystectomy.
  • Open cholecystectomy has been the traditional approach.
  • Laparoscopic cholecystectomy offers a minimally invasive alternative.

Purpose of the Study:

  • To compare elective open cholecystectomy versus laparoscopic cholecystectomy.
  • To evaluate differences in operating time, morbidity, mortality, hospital stay, and analgesic use.
  • To assess the clinical outcomes of two distinct cholecystectomy techniques.

Main Methods:

  • Retrospective study of 80 patients (40 open, 40 laparoscopic).
  • Patients matched for age and body mass index.

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  • Data collected on operative details, complications, hospital stay, and pain management.

    • Main Results:

    • Laparoscopic cholecystectomy had a longer median operating time (90 min vs. 45 min).
    • Lower overall complication rate in the laparoscopic group (10% vs. 22.5%).
    • Shorter median hospital stay (2 days vs. 5 days) and reduced analgesic requirements for laparoscopic procedures.

    Conclusions:

    • Laparoscopic cholecystectomy is associated with improved outcomes.
    • This includes fewer complications, reduced hospital length of stay, and less need for postoperative pain relief.
    • Laparoscopic cholecystectomy represents a favorable surgical option for gallstone disease.