Pilot Study of Laparoscopic Cholecystectomy in LLRM Medical College, Meerut

Before 1987, when Mauret from France performed the first human Laparoscopic Cholecystectomy, open Cholecystectomy was considered the gold standard for performing Cholecystectomy. But as the technique grew & with wide acceptance of laparoscopy, Laparoscopic Cholecystectomy became the gold standard for Cholecystectomy. This study is done to evaluate our technique of Laparoscopic Cholecystectomy in terms of hospital stay, post-op pain & complications in patients of acute/chronic Cholecystitis with Cholelithiasis. All case of acute/chronic Cholecystitis with Cholelithiasis who presented in emergency/O.P.D of Surgery from July 2004 to 30th June 2010 (n= 141). Data regarding age group, sex, acute versus chronic, time taken(average operative time), conversion rate & reason for conversion, complications were obtained during the hospital stay & subsequent follow up of patients. Cholelithiasis was more commonly found in middle age group (4th decade) & majority of patients were female. Majority of patients had chronic Cholecystitis with Cholelithiasis (Acute: Chronic = 1:10.75). Average operative time was one to one & half hour in the initial years & it decreased to thirty minutes in non acute eases & about one hour in acute cases. Ten(10) cases were converted to open Cholecystectomy due to bleeding & major complication^) like bile duct injury was observed in two(2) patients. This study suggests that Laparoscopic Cholecystectomy is far more superior to open Cholecystectomy in terms hospital stay, post-op pain, return to work & lesser incidence of wound infection.