COMPARATIVE STUDY BETWEEN LAPAROSCOPIC CHOLECYSTECTOMY AND OPEN CHOLECYSTECTOMY IN A TERTIARY CARE CENTRE OF SOUTHERN ODISHA

BACKGROUND \nCholelithiasis popularly known as gall stone has become a matter of global concern particularly in the adult age group owing to \nour life styles. Although open cholecystectomy started earlier, laparoscopic cholecystectomy has replaced it with few exceptions. \nHowever, each procedure has its advantages and disadvantages pertaining to certain characteristics of the patient, infrastructure \navailability and financial feasibility. \nThe aim of this study was to compare the relative effectiveness of each procedure through different parameters before, \nduring and after the surgery. \nMATERIALS AND METHODS \nIn this cross-sectional study, 100 patients were included with equal proportion in each group. They underwent either of the \nsurgeries and comparison was made utilizing different pre, intra and post-operative factors through different statistical tests \napplied accordingly. \nRESULTS \nLaparoscopic cholecystectomy was better than open cholecystectomy in terms of surgery duration, decreased pain post \noperatively, ambulation, hospital stay etc. with statistical significance between the 2 groups. The outcome was favourable \nleading to the impression of going for the former procedure in most of the settings of cholelithiasis. \nCONCLUSION \nLaparoscopic cholecystectomy was better alternative to open cholecystectomy in terms of less intra and postoperative \ncomplications.