Comparative analysis of the postoperative period after laparoscopic cholecystectomy and minimal laparotomical access

Abstract

INTRODUCTION: The aim of our study was to compare cholecystectomy from the minimum access laparotomy (CMAL) and laparoscopic cholecystectomy (LC) with respect to complications, operating time, postoperative length of hospital stay (PLOS). METHODS: One hundred fifty nine patients with biliary colic and documented gallstones were randomized to CMAL (n = 86) or LC (n = 73) groups. Data measures included operating time, postoperative complication (hyperthermia), and postoperative length of hospital stay. RESULTS: Patients were similar except for body mass index (BMI), age, gender, ASA. The CMAL group had longer operative time (65 vs. 39 min, p = 0.004) compared with the LC group. The postoperative length of hospital stay was significantly shorter in the LC groups than the CMAL groups (5,3 vs. 3,2 days, p=0,002). Postoperative time of hyperthermia was longer for CMAL (2,71 vs. 0,91 days, p=0.008). There was no major complication in either group. CONCLUSION: CMAL is associated with longer operating time, period of hyperthermia after operation and length of stay, but equals LC with respect to safety.

Keywords

• cholelithiasis
• cholecystectomy from the minimal laparotomical access
• laparoscopic cholecystectomy