Small Incision Open Cholecystectomy (SIOC) in the Era of Laparoscopic Surgery: A Prospective Cohort Study

SIOC is an alternative to laparoscopic cholecystectomy. From Jun 2012 through 2013 till Jan 2014, all the SIOC and operations performed on Gall bladder as the responsibility for surgical training (intended SIOC) were taken in to consideration in this study. 92 women and 48 men, total 140, with median age of 45 years (range 18 to 74 years) underwent cholecystectomy for symptomatic gall bladder disease. Trainee surgeons assisted by consultants performed surgery in 101 (72%) cases. 39 cases (difficult due to disturbed anatomy at Calot’s triangle) were operated by consultant surgeon. The CBD was explored in 6 patients. Post op morbidity was in 06 (4.28%). Median post op stay was 01 day. Mean total (pre op & post op) hosp stay was 3.1 days. SIOC for all patients is compatible with short hospital stay, evidence-based gallbladder surgery for the training of surgical residents.