Publication: Open Cholecystectomy among Patients undergoing Laparoscopic Cholecystectomy in a Tertiary Care Centre: A Descriptive Cross-sectional Study
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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.
Methods: It is a descriptive cross-sectional study done among 345 patients at the Department of Surgery of a tertiary care centre from June, 2020 to May, 2021 after receiving ethical clearance from the Institutional Review Committee (Reference number: CMC-IRC/0770798-271). Convenience sampling was done. Successive patients who underwent elective laparoscopic cholecystectomy during the study period were included. Standard 4 port laparoscopic technique was used for the laparoscopic cholecystectomy and sub-costal Kocher incision was used for the open cholecystectomy respectively. After data collection, entry and analysis were done in Microsoft Excel. Point estimate at a 95% Confidence Interval was calculated along with frequency and percentages for binary data.
Results: Out of 345 patients, the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy was 6 (1.73%) (0.35-3.11 at a 95% Confidence Interval).
Conclusions: This study showed that the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy was lower when compared to similar studies conducted in similar settings.
Description
Gaurav Katwal
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Yeshika Thapa
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Aisha Shrestha
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Abhishek Bhattarai
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Kishor Kumar Tamrakar
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Harish Chandra Neupane
Department of Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal
Keywords
Cholecystectomy, Cholelithiasis, Laparoscopic cholecystectomy