Iraqi Postgraduate Medical Journal

Abstract

BACKGROUND:
Laparoscopic chohecystectomy is the standard operation for cholelithiasis and replaced the classical
open cholecystectomy as it has better outcome.
OBJECTIVE:
The purpose of this study is to make a comparison between classical laparoscopic cholecystectomy
(CLC)and Mini laparoscopic cholecystectomy (MLC).
PATIENTS AND METHODS:
This study was conducted in Al-Jumhoori Teaching Hospital during the period from 10th February
till 15th may 2019. It involved 30 patients with symptomatic gallstones randomly divided into
2 groups (the first group treated with CLC while the second group treated with MLC);the intra and
post operative complications were recorded for comparison.
RESULTS:
Thirty patients involved in this study and divided randomly in two groups ;Group (A) age (average
38 years )and their BMI (average 36 kgm2) underwent CLC ,while group (B) age (average 28 years)
and their BMI (average 31kgm2). The mean operative time in CLC was 42 minute while MLC
recorded time was 51minutes. The MLC group has less post operative pain, better cosmetic results
with comparable hospital stay ,but two cases converted from MLC to CLC.
CONCLUSION:
MLC can be performed safely and although it takes more time than CLC ,but has less post operative
pain and more patient satisfaction with comparable hospital stay