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conferenceseries
.com
Volume 7, Issue 7 (Suppl)
J Gastrointest Dig Syst
ISSN: 2161-069X JGDS, an open access journal
Gastroenterologists 2017
December 14-15, 2017
December 14-15, 2017 Dubai, UAE
11
th
World
Gastroenterologists Summit
Comparison of clinical outcomes and cost of mini open vs. laparoscopic cholecystectomy in 10-year
interval
Chu Woon Ng and Andreas Lambrianides
Redcliffe Hospital, Australia
Objective:
To determine differences in procedure duration, length of stay, outcomes and cost based on types of surgery in the
year 2004-5 and 2014-15.
Methods:
The study design was a 10-year interval retrospective study conducted in a district hospital in Queensland, Australia.
Data were extracted from hospital record for the years 2004-5 and 2014-15. Incomplete and inaccurate data were excluded from
the study and a total of 247 records were included in final analysis. Fischer’s exact test, Chi-square test and Mann-Whitney U
test with 0.05 level of significance were used. Odds ratio with 95% confidence interval were also calculated.
Results:
Patients treated with laparoscopic surgery had significantly shorter hospital stay than those treated with mini-open
surgery (p<0.001) and it was consistent for both time-period. Antibiotic use and postoperative complications were significantly
higher in mini open cholecystectomy cases (P< 0.05). In both time-period, laparoscopic cholecystectomy showed significantly
less inpatient complications compared to mini open cholecystectomy. Lack of cost components restricts direct comparison of
cost, however increased complication, antibiotic use and longer stay suggests high indirect cost in patients treated with mini
open cholecystectomy.
Conclusion:
Laparoscopic cholecystectomy has become the preferred management of acute cholecystitis. This research
provides evidence on improved intraoperative and postoperative outcome in laparoscopic cholecystectomy compared to mini
open cholecystectomy. Shorter hospital stays, less postoperative complications and less antibiotic use make this technique
more cost-effective. However, longitudinal study using cost effectiveness analysis in future will provide robust conclusion.
Biography
Chu Woon Ng is a General Surgery Principal House Officer at Bundaberg Base Hospital in Queensland, Australia. She has obtained her Bachelor's degree (MBBS)
from Queensland University in 2015. She is also an Associate Lecturer at The University of Queensland Faculty of Medicine.
chuwoonn@yahoo.comChu Woon Ng et al., J Gastrointest Dig Syst 2017, 7:7 (Suppl)
DOI: 10.4172/2161-069X-C1-061