000			02928nam a22002177a 4500
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003			OSt
005			20220906184700.0
008			181120b ||||| |||| 00| 0 eng d
060			_aTHS00035
100			_aGhimire,Ishwar Chandra. _9971
245			_aA Comparative study of minicholecystectomy versus conventional cholecystectomy.
260			_cc2000.
300			_a54p.
500			_aThesis Report.
520			_aABSTRACT: Laparoscopic cholecystectomy is being performed in developed countries as an alternative to conventional cholecystectomy for the removal of diseased gallbladder. Minicholecystectomy has become accepted procedure and gained popularity where facility for minicholecystectomy has become an accepted procedure and gained popularity where facility for laparoscopic cholecystectomy does not exist because of the high cost and inavailibity of the equipment, the need for special training to the surgeons etc. This comparative prospective randomized study evaluates the results of two different operative procedures, the conventional cholecystectomy and minicholecystectomy in symptomatic gallstone patients. 64 consecutive patients with symptomatic gallstone disease were prospectively randomized into two groups, minicholecystectomy group (32 patients) and conventional cholecystectomy group (32 patients).The length of incision was 5-7 (mean of 5.56) cm in minicholecystectomy and 10-12 (mean of 10.6) cm in conventional cholecystectomy. These two groups of patients were compared with regard to the following parameters and the results were analysed. a) Operating time: It was 60.96 (50-80) minutes for minicholecystectomy and 59.03 (45-90) minutes for conventional cholecystectomy. There was no significant difference between two procedures (p value>0.05). b) Postoperative analgesic requirement : There was no differnece between two groups for the first 24 hours. but after first post operative day. Conventional cholecystectomy patients required oral analgesic, for longer period with a mean of 4.93 days as compaired to 3.22 days in minicholecystectomy group .The difference was statistically significant ( p value<0.05). c) Oral feeding : Both groups of patients tolerated oral feeding from the first postoperative day and no difference was observed. (p value > 0.05) d) fitness for discharge : When the patients took soft diet and could visit toilet without support of others & there was no need for injectable analgesic , they were deemed fit to be discharged . Minicholesystectomy patients were fit to be discharged on an average of 2.96 days as compared to conventional cholecystectomy patients who were discharged on 3.65(2-6) days. These figures were significantly different (p value < 0.05)
650			_aMinicholecystectomy. _9968
650			_aConventional. _9969
650			_aCholecystectomy. _9970
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942			_2NLM _cTR