Surgical Outcomes of Needlescopic Cholecystectomy Versus Laparoscopic Cholecystectomy- A Comparative Study in A Specialized Hospital in Bangladesh

Abstract

Background: Needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) are both minimally invasive surgical techniques used for the removal of the gallbladder in patients with gallbladder disease, primarily gallstones. The comparison of surgical outcomes between needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) has been a subject of interest among surgeons and researchers. Aim of the study: The aim of the study was to compare the surgical outcomes of needlescopic cholecystectomy versus laparoscopic cholecystectomy. Methods: This was a prospective observational study conducted in the Department of General & Laparoscopy Surgery, Evercare Hospital, Dhaka- Bangladesh from December 2022 to October 2023. A total of 50 symptomatic cholelithiasis patients were randomly selected as the study population. The total 50 patients were equally divided into two groups, Group A underwent Needlescopic cholecystectomy, and Group B underwent laparoscopic cholecystectomy. Data analysis was performed using MS Office tools and SPSS version 23.0 program. Results: In this study, intraoperative incidents were less frequent, with 28% in the Needlescopic group and 36% in the Laparoscopic group. Wound length in the epigastrium was significantly smaller in the Needlescopic group (3.9 mm vs. 13.1 mm in Laparoscopic). In the hypochondrium, Needlescopic patients had a 3.7 mm wound, while Laparoscopic patients had 7.9 mm. In the flank region, Needlescopic patients had a 4.2 mm wound, compared to 8.8 mm in Laparoscopic patients. According to a 10-grade VAS scale, satisfaction scores were 9.8 for Needlescopic and 9.6 for Laparoscopic cholecystectomy patients. Conclusion: Needlescopic cholecystectomy has clear advantages over laparoscopic cholecystectomy, with fewer intraoperative incidents, reduced post-operative pain, and smaller wounds, resulting in less discomfort, minimal scarring, and a quicker recovery. Late postoperative complications are also less frequent, and patients tend to be slightly more satisfied with needlescopic cholecystectomy.

Pulse Vol.16, 2024 P: 4-9