Article Published In Vol.6 (Jan-Feb-2018)

A Prospective Randomised Comparative Study between Clip Less Versus Conventional Laparoscopic Cholecystectomy

Author : Dr. Pallem Praveen and Dr. Ajmeera Ranga

Introduction: For the surgical treatment of gall bladder diseases, laparoscopic Chole cystectomy has been accepted as the gold standard. The minimally invasive procedure is undeniably superior in various respects when compared with open surgery and this is also true on the aesthetic criteria when the conventional laparoscopic cholecystectomy (CLC) is compared with the mini-laparoscopic cholecystectomy (MLC).
Objective: Evaluate the hospital charges associated with these procedures and specify the differences concerning these techniques.
Method: Comparative and retrospective study of hospital charges, with 40 consecutive patients, who underwent laparoscopic cholecystectomy.
There were two groups with 20 patients each. One group underwent conventional laparoscopic cholecystectomy and in the other the minimally invasive approach was performed. The arithmetic mean was used to compare the total charges for the entire procedures.
Results: The MLC procedures showed no significant difference in total hospital charges compared to the CLC approach.
Conclusion: The equivalence of hospital charges for the two procedures suggests that the mini-laparoscopic cholecystectomy (MLC) should be widely recognized among surgeons as offering better aesthetic results the conventional laparoscopic procedure. Studies comparing patient satisfaction with the surgical result, difference in post-operative morbidity, pain, and recuperation for the two procedures are needed.

Keywords: charges, surgery, laparoscopy, needlescopic instruments