Acta Medica Medianae
ESTIMATION OF THE LAPAROSCOPIC CHOLECYSTECTOMY
VALUES VVITH RESPECT TO THE OPEN ONE
Dragojlo Gmijović, Miroslav Stojanović, Goran Stanojević, Milan Jovanović, Miroslav Jeremić, Veroljub Pejčić, Svetislav Jovanović, Miomir Pešić i Nebojša Ignjatović
Surgical Clinic of the Clinic Center, Niš
The paper presents an analysis of the randomized study carried out upon 1000 patients operated because of the symptomatic cholethiasis in the period from 1, January, 1996 to 1, January 2002, divided into two groups of 500 patients, namely, the OC groups comprising those operated by the classical method of the open cholecystectomy and the LC group comprising those operated by the laparoscopic method (LC) with the aim of doing a comparative analysis of the values of the classical and laparoscopic cholecystectomy on the basis of the operation duration, the hospitalization duration, the alimentation start, the percentage of inter-operative and post-operative complications, the pain intensity, the aesthetic results, the recovery of the work activities and economic aspects.
The operation duration was on average 40,87 mm. in the OC, while it was 58,53 min. m the LC group (p<0,05). The percentage of the serious inter-operative and the post-operative complications is somewhat higher in the LC group. The infective complications are more frequent in the group operated by the open method. The hospitalization duration is far less in the LC group (1,8 days) with respect to the OC group (4,8 days) (p< 0,05). The pain intensity measured by the VAS is far lower after the LC. The average duration of the sick leave was 10,5 days in the LC group while it was 16,2 days in the OC group (p<0,05). The aesthetic results after the LC are evidently better while the financial comparison of the above-presented methods under our living conditions is not rewarding for estimate.
Key words: Laparoscopic cholecystectomy, open cholecystectomy, comparison