Comparing Complications of Open and Laparoscopic Cholecystectomy in Patients with Acute Cholecystitis in Western Iran

Background: Here we aimed to investigate the early laparoscopic cholecystectomy results and compare them with those of open cholecystectomy among patients with acute cholecystitis.

Methods: The present analytical study was conducted on 74 patients with acute cholecystitis referring to the general hospitals in Lorestan province, Western, Iran during November 2013 to May 2014; who were candidate for cholecystectomy treatment method. The research variables included gender, age, surgery technique, postoperative pain intensity, analgesic requirement, number of hospitalization days, surgery duration, patient's postoperative NPO duration, wound infection, and bile leakage through drain, which were compared between the two groups. Then, the advantages and disadvantages of laparoscopic cholecystectomy compared to open cholecystectomy in patients with acute cholecystitis were investigated.

Results: The obtained results showed that there was a significant difference between the analgesic requirement, bile leakage rate, wound infection, postoperative pain intensity, average number of hospitalization days, postoperative NPO status among the patients with acute cholecystitis undergoing open and laparoscopic surgery (p<0.05).

Conclusion: Since findings of the present study showed that the laparoscopic cholecystectomy led to reduction in some of the complications and side-effects, including postoperative wound infection, bile leakage rate, postoperative pain intensity, analgesic requirement, postoperative NPO status duration, and surgery duration, laparoscopic cholecystectomy can be recommended as an effective and low-complication treatment, compared to open surgery for acute cholecystitis. 

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