Najam ul Haq, Muhammad Taimur, Muhammad Imran, Abdul Basit Jamal

80-83

Download

ABSTRACT

OBJECTIVE: To evaluate the validity of rectus sparing mini-cholecystectomy (MC) as an alternative to laparoscopic cholecystectomy.

STUDY DESIGN: A prospective cohort study.

PLACE AND DURATION: From 1st Jan 2010 to 31st Dec 2012 in Surgical Unit III, at Fauji Foundation Hospital Rawalpindi.

METHODOLOGY: A total of 100 patients both males and females were incorporated in this study. Patients having symptomatic gall stones diagnosed on ultrasound were divided into two groups i.e. 50 patients in group I were subjected to laparoscopic cholecystectomy while the remaining 50 patients in group II underwent rectus sparing mini-cholecystectomy at random. Variables like age, sex, perop/postop hemorrhage, biliary injury / bile leakage, post-operative pain, hospital stay, wound infection and outcome were evaluated for both procedures. Also the cost per patient in both groups was compared.

RESULTS: In laparoscopic cholecystectomy group 44% participants were discharged on 1st postoperative day and 56% patients were discharged on 2nd postoperative day while in rectus sparing mini cholecystectomy group 42% patients were discharged on 1^st postoperative day and 58% were discharged on 2nd postoperative day. Superficial surgical site infection ensued in almost 2% of the patients that has gone through Laparoscopic Cholecystectomy and 4% in those patients who underwent Rectus Sparing Mini Cholecystectomy patients. Moreover, In Laparoscopic Cholecystectomy group 94% and in Rectus Sparing Mini Cholecystectomy group

90% patients were satisfied with postoperative pain management.

CONCLUSION: The rectus sparing mini-cholecystectomy is better and safe alternative to laparoscopic cholecystectomy if the laparoscopic surgery facilities are not available or it is contraindicated due to any reason.

 

KEYWORDS: Rectus sparing mini-cholecystectomy, laparoscopic cholecystectomy, cholelithiasis.