Laparoscopic cholecystectomy is now a well established alternative to open cholecystectomy. We compared the first 50 cases of laparoscopic cholecystectomy (L.C.) with the same number of open cholecystectomy (O.C.), which were performed at Seoul
National
University hospital during different period. All cases were limited to symptomatic gallstone disease, whose GB was visualized on oral cholecystography. We excluded the cases with simultaneous CBD stone, acalculous cholecystitis, acute
cholecystitis, or
GB polyp. Demographic finding shows no statistical difference between two groups. mean operation time was 128 min. in L.C. group, 87 min. in O.C. gropu (p<0.001). Required analgesics (Ketoprofen, 1 Amp.=100mg) dose was 0.44 Amp in L.C. group,
2.04
Amp
in O.C. group (p<0.001). Post-operative hospital stay was 3.26 days in L.C. group, 5.18 days in O.C. group (p<0.001). Solid diet was tolerated from 2.28 post-operative days in L.C. group, 5.18 post-operative days in O.C. group (p<0.001).
Complication rate was 6% in L.C. group, 8% in O.C. group (p<0.001). Hospital cost was 1,643,280 @on in L.C. group, 805, 860 Won in O.C. group (p<0.001). So, we conclude that L.C. is a good standard treatment modality in gallbladder disease, of
which
benefits are less painful, good cosmetic results, earlier tolerable to solid diet, and short duration of hospital stay.
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