Laparoscopic Versus Open Cholecystectomy Experience at Al-Batnan Centre, Tobruk

Original article


Mohamed Nagi Ilbarasi

Department of General Surgery, Al-Batnan Medical Teaching Centre, Faculty of Medicine, Omar Al-Mukhater University, Tobruk, Libya

JMJ 2007,Vol.7, No.4:250-253


Objective: To evaluate laparoscopic versus open cholecystectomy at Al-Batnan Medical Teaching Centre-Tobruk. Patients and Methods: A retrospective study of 300 patients operated for cholecystectomy at Al-Batnan Medical Teaching Centre between 1st of August 2003 to 31st of July 2004. Results: Total numbers of cases were 300 patients. Male : Female ratio was 1:5.3. There were 170 (56.6%) patient had open cholecystectomy and 130 (43.4%) had laparoscopic cholecystectomy. There were 4 cases (3%) in which laparoscopic cholecystectomy was aborted and converted to open cholecystectomy. There were 243 cases (81%) operated as elective procedure, of them 129 cases (53%) were laparoscopic and 57 cases 19% operated as acute procedure of them only 1 case (1.7) were laparoscopic and converted to open procedure. The operative time, hospital stay, improved cosmetic appearance, morbidity and mortality was better in the laparoscopic procedure compared with the open. Except for perioperative bile duct injury. Conclusion: Laparoscopic cholecystectomy is better than open cholecystectomy due to reduced tissue dissection and reduced metabolic and pathophysiological changes. It is performed with neither complex intra abdominal suturing nor extensive tissue damage. It needs experienced hands to decrease the relative high incidence of perioperative bile duct injuries.

Keywords: Laparoscopic cholecystectomy, Open cholecystectomy, postoperative pain.