Comparative Risk of Surgical Site Infection With Open Cholecystectomy Vs Laparoscopic Cholecystectomy

Abstract

OBJECTIVES: This study aimed to compare the risk of surgical site infection with open vs laparoscopic cholecystectomy. METHODOLOGY: This randomized control trial was done at the Department of Surgery, Hayatabad Medical Complex, Peshawar, for 12 months from 11/5/2018 to 11/5/2019. 116 patients were recruited for this study, 58 for each group randomly allocated to a group by lottery method and concealed Allocation. Patients in Group A underwent laparoscopic cholecystectomy, while patients in group B underwent open cholecystectomy. According to ward protocol, post-operative analgesia & antibiotics were given to patients in both groups. Expert consultant general surgeons did all the evaluation & procedures; all the patients were followed up to 30 days after the procedure & any surgical site infections, if found, were noted. RESULTS: The mean age was 36 years ± 12.19 SD and 38 years ± 11.88 SD in laparoscopic and open cholecystectomy, respectively. In laparoscopic cholecystectomy, 28% of patients were male, and 72% of patients were female, while in open cholecystectomy, 29% of patients were male, and 71% of patients were female. 07% of laparoscopic and 26% of open cholecystectomy patients had surgical site infections. CONCLUSION: Our study concludes that the frequency of surgical site infection was found less in laparoscopic cholecystectomy than in open cholecystectomy.

Frequency And Risk Factors For Developing Surgical Site Infection In Abbasi Shaheed Hospital

“…Duration of surgery however also did not show any statistically correlation as patients having surgical site infection equally common among both groups. A retrospective study revealed 15.9% prevalence of SSI [17,19,20]. In ours study Surgical site infections were more common after emergency surgeries than after elective ones.…”

Risk of Surgical Site Infection Following Open and Laparoscopic Cholecystectomy

“…From 3-20% of the global population suffers from it, according to published studies. [13] Laparoscopic cholecystectomy has surpassed open surgery in frequency of use at most institutions in recent years, becoming a standard surgical procedure. [14] In 94 cases included cases of current study, 47 received open cholecystectomy in group I and 47 cases of group II received open cholecystectomy.…”

“…[15,16] In 94 included cases, 63 (67.02%) were females and 31 (32.98%) were males. [13] Inflammation is caused by changes in the immune system that are triggered by surgical intervention. [17] Posttraumatic immune suppression, in any form, is linked to an increased risk of septic complications.…”