Marium Arif, Aruj Alam, Muhammad Shoaib, Sohail Anjum.
Is open Cholecystectomy still an essential procedure in the era of minimally invasive surgery? a prospective analysis of patients presenting with Gallstone disease at a community hospital.
Pak J Med Health Sci Jan ;13(1):134-6.

Background: Gallstones manifestations are leading cause of hospital admissions in digestive tract diseases. Although laparoscopic cholecystectomy is considered as a gold standard intervention for gallbladder diseases but this study is being conducted on open cholecystectomy. These interventions are based on trial and error basis. Moreover Surgery in the developing world is widely known to be done against a background of poverty, patient's low awareness of its possible benefits, and limited medical resources and many of patients are not concerned about type of surgery, yet all they want is just cure of their diseases. Open cholecystectomy is still a common procedure in hospitals in peripheral areas of big cities in Pakistan, reasons being lack of resources nevertheless patient’s preference. Aim: To analyze the management of patients admitted with gallbladder disease and undergoing open cholecystectomy in our department and its outcome. This study is carried out to emphasize this essential procedure curing a common disease in the absence of advanced technology. Methods: A prospective analytical study conducted over a total of 90 patients which were seen in surgical clinics with symptoms of gallstones disease at Chaudhary Rehmat Ali Trust Teaching Hospital Township, Lahore during 1 year of duration from 1st May 2016 to 30th April 2017. Parameters recorded in this study were main clinical symptom, diagnoses, abdominal ultrasound findings, Liver function tests, hepatitis serology, preoperative findings, immediate and early post complications, and initial follow up visits of patients. Results: Most of patients were fertile females having symptoms for few months. Mean age of patients was 44.02 years. Upper abdominal pain was the chief complaint. Only 7 out 90 patients presented with sign and symptoms of acute cholecystitis and 57(63.3%) presented with billiary colic. Mean Hospital stay was 2.26 days postoperatively. Conclusion: In this modern era of laparoscopic and Robotic surgery open cholecystectomy is still a quiet common and essential procedure in our community hospitals with good outcome.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com