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- Title
CHOLECYSTECTOMY; LAPAROSCOPIC VS OPEN IN PATIENTS WITH MILD LIVER CIRRHOSIS AND SYMPTOMATIC GALL STONES.
- Authors
Hassan, Iram Hassan; Khan, Muhammad Sohaib; Malik, Naveed Akhtar; Khan, Jahangir Sarwar; Zaman, Saadia; Khan, Muhammad Mussadiq
- Abstract
Objective: To compare the operative time, blood loss, postoperative pain and length of hospitalization between open (OC) and laparoscopic cholecystectomy (LC) in Liver cirrhotic patients with Child -Pugh class A & B. Study Design: Randomised Control Trial (RCT). Setting and Duration: This study was conducted at Surgical department, Holy Family Hospital, Rawalpindi from Jan 2010 to Dec 2011. Subjects and Methods: A total of 142 patients having Liver cirrhosis secondary to Hepatitis A & Hepatitis B, who presented in OPD and ER with signs and symptoms of gall stones were randomly allocated into two groups for open (OC) and laproscopic cholecystectomy (LC). All of them were either in Child-Pugh class A or B. Data on the above two groups( LC &OC) was collected and analyzed for operative time, blood loss and length of hospitalization after operation. Results: The mean blood loss in LC group was 61.33+39.64 ml vs 90.84+29.88 ml in OC group, Mean operation time was 50.49+18.26 min in LC group vs 59.22+15.66 in OC group which is statistically significant (p<.05). In LC group, the mean hospital stay was 1.8+.97 days, while in OC group is 2.4+.91 days which is also statistically significant. Conclusions: LC (laparoscopic cholecystectomy) is a safe and effective approach for the treatment of symptomatic cholelithiasis in patients with mild cirrhosis with less blood loss, less postoperative pain, shorter operative time and decreased hospital stay.
- Subjects
CHOLECYSTECTOMY; LAPAROSCOPIC surgery; CIRRHOSIS of the liver; GALLSTONES; BLOOD loss estimation; POSTOPERATIVE pain; LENGTH of stay in hospitals; PATIENTS
- Publication
Professional Medical Journal, 2014, Vol 21, Issue 1, p5
- ISSN
1024-8919
- Publication type
Article
- DOI
10.29309/tpmj/2014.21.01.1782