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COMPARISON BETWEEN LAPAROSCOPIC CHOLECYSTECTOMY WITH OPEN CHOLECYSTECTOMY

Laparoscopic cholecystectomy (LC) in elective surgery has replaced open cholecystectomy (OC) . This study compared the safety and efficacy of these two methods in the treatment of symptomatic gallstones. This experimental parallel outcome study was carried out in Yazd . 140 cases were divided into two groups . 70 cases in LC (M.F=14.54) and 70 in OC (M.F=12.58). Respiratory complications in OC was two fold of LC, biliary injury in both groups were identical (1.4%). The mean hospital stay in OC was 4.08+ 1.9 days and in LC 1.57+0.75 days (P>0.001) . Also , the Mean of NPO time in post operative period in OC was 1.84+0.58 and in LC 1.50 + 0.23. In addition , 2.8% of patients in OC has wound infection and in one patient of LC has subcutaneous hemorrhage . LC provides a safe and effective treatment for most patients with symptomatic gallstones , Laparoscopy.