A Retrospective Study on Comparison of Outcomes of Open Partial Cholecystectomy with Complete Cholecystectomy

Abstract

Objective: To compare the frequency, indications and outcomes of full cholecystectomy with open partial cholecystectomy during surgery.

Materials and Methods: A retrospective descriptive study was performed from February 2014 to February 2015 at the Nishter Hospital Multan Surgery Department for one year period. 39 patients with stones in Gall Bladder who underwent partial cholecystectomy were studied. The criteria for selection of the cases were preoperative, clinical findings, ultrasonography and computerized tomography. The final decision was based on operative findings during open cholecystectomy.

Results: Partial cholecystectomy was performed in 39 patients with gallstone disease. The age range was between 30 and 75 years (average age: 45 years). The ratio of women and men showed a female superiority. In our study, acute cholecystitis was found in 62% of patients, empyema bladder in 16.5%, mucocele in 9.5% and acute pancreatitis due to gallstones in 12% of the patients. Two patients underwent cholecystostomy.

 Conclusion: Partial cholecystectomy is a safe and effective procedure in difficult cases, all complications are less and total cholecystectomy is almost equivalent.