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

Authors

  • V. N. Klimenko
  • D. V. Syvolap
  • S. M. Kravchenko
  • A. V. Zakharchuk
  • V. V. Vakulenko

DOI:

https://doi.org/10.14739/2310-1210.2014.2.25304

Keywords:

cholelithiasis, cholecystectomy from the minimal laparotomical access, laparoscopic cholecystectomy

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.

 

References

Beburishvili, A.G. Mini- invasive surgery for acute cholecystitis in patients with high surgical risk / A.G. Beburishvili, E.N. Zyubina // Annals of Surgery. Hepatology . - 2002. - Vol. 7. - №1. - P. 87.

Burkov, S.G. On the consequences of cholecystectomy syndrome or postcholecystectomic / S.G. Burkov // Consilium medicum, gastroenterology. - 2004. - Vol.6. - №2. - P. 24-27.

Bystrov, S.A. Mini- invasive surgery in the treatment of cholelithiasis in patients with increased operational risk / S.A. Bystrov, B.N. Zhukov, V.O. Bizyarin // Surgery. - 2010. - №7. - P.55-59.

Gallinger, Y.I. Results of laparoscopic cholecystectomy / Y.I. Gallinger , V.I. Karpenko, M.A. Amelin // Endoscope. surgery. - 2002. - № 1. - P.25-26.

Grigoriev, P. Gallstones and consequences of cholecystectomy: diagnosis, treatment and prevention / P. Grigoriev, I. Soluyanova, A. Yakovenko // Attending Physician. - 2002. - № 6. - P.26-32.

Ermakov, E.A. Minimal invasive methods of treatment of cholelithiasis complicated by impaired patency of the biliary tract / E.A. Ermakov, A.N. Lischenko // Surgery. - 2003. - № 6. - P.68-74.

Zhukov, B.N. Minilaparotomic access in surgical treatment of gallstone disease in the elderly / B.N. Zhukov, S.A. Bystrov, V.O. Bizyarin // Samar. honey. journal. - 2008. - №11. - P.28.

Ivashkin, V.T. Diseases of the liver and biliary tract : a guide for physicians. M.: «Publishing House, M-Vesti ", 2002. - 416 p.

Kokhanenko, N.Y. The choice of method of surgical treatment holecystoholedoholithiasis / N.J. Kokhanenko, E.L. Lataria, S.A. Danilov // Annals of Surgery. Hepatology. - 2011. - T.16, № 4. - P.56-60.

Kuzin, N.M. Laparoscopic cholecystectomy and traditional: a comparison of the immediate results / N.M. Kuzin, S.S. Dadvani, P.S. Vetshev // Surgery. - 2000. - № 2. - P.25-27.

Timoshin, A.D. Results of minimally invasive operations in surgery of the biliary tract / A.D. Timoshin, A.L. Shestakov, S.A. Kolesnikov // Annals of Surgery. Hepatology. - 2006. - T.11., № 1. - P. 34-38.

Trachums, I. Mini - laparotomy in surgical treatment of gallstone disease / I. Trachums , M. Mihelsons , A. Pavars , A. Segundo // Surgery . - 2006. - №11. - P. 33-34.

Shevchenko, Y.L. Diagnosis and surgical tactics in the syndrome of jaundice / Y.L. Shevchenko, P.S. Vetshev, Y.M. Stojko // Annals of Surgery. Hepatology. - 2008. - V.13, № 4. - P.96-105.

Shchelkin, A.A. The choice of surgical tactics in patients with obstructive jaundice using minimally invasive technologies / A.A. Shchelkin, V.L. Halzov, A.B. Tug // Annals of Surgery. Hepatology. - 2004. - T.9 , №2. - P.104-105.

Garg, P. Single-incision laparoscopic cholecystectomy vs. conventional laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials / P. Garg, J.D. Thakur, M. Garg, G.R. Menon // J. Gastrointest. Surg. - 2012 Aug. - Vol.16(8). – P.1618-1628. doi: 10.1007/s11605-012-1906-6. Epub 2012 May 12.

Geng, L. Single incision versus conventional laparoscopic cholecystectomy outcomes: a meta-analysis of randomized controlled trials / L. Geng, C. Sun, J. Bai // PLoS One. - 2013. - Oct 2. - Vol.8(10): e76530. doi: 10.1371/journal.pone.0076530. eCollection 2013.

How to Cite

1.
Klimenko VN, Syvolap DV, Kravchenko SM, Zakharchuk AV, Vakulenko VV. Comparative analysis of the postoperative period after laparoscopic cholecystectomy and minimal laparotomical access. Zaporozhye Medical Journal [Internet]. 2014Jun.19 [cited 2024Nov.23];16(2). Available from: http://zmj.zsmu.edu.ua/article/view/25304

Issue

Section

Original research