Abstract
Objective: To compare the day case Laparoscopic cholecystectomy with conventional Laparoscopic
cholecystectomy in terms of early return to activities and intensity of postoperative pain.
Study Design:Randomized control trial (Parallel).
Place and Duration of Study: Department of Surgery Pakistan Institute of Medical Sciences/ Shaheed Zulfiqar
st th Ali Bhutto Medical University Islamabad. Study was conducted from 1 Nov 2014 to 30 April 2015.
Materials and Methods:After approval of hospital ethical committee, patients who were fulfilling the inclusion
criteria were included in study after taking informed and written consent. Sample size was calculated using
WHO sample size calculator, which turned out to be 42 for each group. Patients were divided into two groups,
group A and group B by lottery method. Patients in group A had undergone Day case Laparoscopic
cholecystectomy and patients in group B had undergone Conventional Laparoscopic cholecystectomy. Data
was collected and recorded on purposively designed Performa. Data was analyzed using SPSS 17; paired t test
was used to calculate p-value.
Results: In group A, among 42 patients 13(31%) were on VAS 4, 13(31%), on VAS 5, 8(19%), in VAS 3, 6(14.3%), in
VAS 2 and 2(4.8%), in VAS 6. The minimum and maximum “number of days to return to activities” was 3 and 7
days respectively. Among 42 patients, 20(47.6%) patients had returned to their home activities in 3 days,
13(31%) in 4 days, 5(11.9%) in 5 days, 2(4.8%) in 6 days and 2(4.8%) in 7 days. In group B the minimum and
maximum intensity of pain on Visual Analogue Scale was 2 and 6 respectively. Among 42 patients 15(35.7%)
were on VAS 5, 14(33.3%) were on VAS 3, 8(19%), in VAS 4, 4(9.5%), in VAS 6 and 1(2.4%), in VAS 2. The minimum
and maximum “number of days to return to activities” was 6 and 10 days respectively. Out of 42 patients
17(40.5%) had returned to their home activities in 9 days, 17(40.5%) in 8 days, 4(9.5%) in 7 days, 3(7.1%) in 10
days and 1(2.4%) in 6 days.
Conclusion: Patients undergoing day case LC do return to their routine activities earlier than those who
undergo conventional LC, but there is no difference in terms of intensity of post-operative pain as measured on
Visual analogue scale.
Muhammad Asad, Aatif Inam, Muhammad Burhan Ul Haq, Zafar Iqbal Malik. (2019) Comparison of Day Case Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy, Journal of Islamic International Medical College, Volume-14, Issue-3.
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