[Differences in the postoperative course and treatment in patients after laparoscopic and standard cholecystectomy]

The laparoscopic surgical technique differs significantly from the classical operative technique especially concerning the post-operative treatment of the patient. Introducing a new operative technique called for an adjustment of the patients' treatment on the ward. The laparoscopic operative technique has a number of advantages in comparison with the classical operative technique. The main advantage is less damage done to the tissue, which reduces the possibility of post-operative complications. Furthermore, the rehabilitation of the patient is faster. Patients experience far less pain and the recovery period is shorter. Consecutively, this means fewer days in hospital, fewer days on sick leave, a faster recovery and returning to work sooner. Patients operated on using the laparoscopic operative technique are mobilised sooner, they start their nutrition sooner, the set of laboratory tests that are conducted is different, the time of post-operative stay at the clinic is shorter. In this paper we have analysed only operations of the holecyst over a period of one year, comparing two different operative methods. Our objective was to compare the time of post-operative mobilisation of the patient as well as the time when they start taking in liquids and food. Especially emphasised in the paper are operations with complications that call for a different treatment. In the period under analysis we did 728 holecystectomies, of which 114 were done laparoscopically. We paid special attention to the analysis of data concerning the post-operative mobilisation of the patient and the start of nutrition. The results we obtained testify in favour of the significantly shorter post-operative period without peroral nutrition following a laparoscopic holecystectomy. The period when the patient is mobilised is also different and should be given special attention. Based on this, we can conclude that at the Abdominal Surgery Clinic in Sarajevo, over the course of one year, the period of post-operative mobilisation of the patient after laparoscopic holecyctectomy has been shorter in comparison with the classical operative method.