Postoperative Outcome of Minicholecystectomy and Conventional Cholecystectomy

Abstract

Objective: To investigate the effects of different incision lengths following elective Cholecystectomy  
Study Design: Prospective cross sectional, comparative study  
Place and Duration of Study: This study was conducted at Surgical Unit II Peoples Medical University of Health 
Sciences Nawabshah from January 2009 to December 2010.   
Patients and Methods: In this study, 100 patients were taken as a sample size. In this study, sampling technique 
was Purposive, non probability. Main Outcome Measures were postoperative pain, Length of hospital stay, Cost of 
treatment, Time until return to work, Complications. Most surgeons still prefer the open approach when dealing with 
common bile duct stone. The technique of open Cholecystectomy might compete with laparoscopic 
Cholecystectomy in avoiding prolonged operating time and major expenses. Mini-Cholecystectomy requires less 
operating time, less postoperative pain, and early return to work than standard conventional open Cholecystectomy  
Results; There were 37 female and 13 male in MC group, and 42 female and 8 male in CC group. Median age was 
55 (range 20-80 years) median BMI was 23 (range 17-30). 15 patients in MC and 18 patients in CC group were with 
acutely inflamed gall bladder and remaining were with chronic gall stone disease. In MC group of 50 patients the 
mean hospital stay was 2.5 days with shortest 1 day and longest 5 days. 35 (70%) patients were discharged within 2 
days 10(20%) on 3rd and 5 patients remained fro 5 days.  
Conclusion Minicholecystectomy offers less pain, earlier recovery and better cosmetic results than conventional 
open Cholecystectomy.