STUDY TO KNOW THE OPERATIVE STRESS AFTER LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY AND THEIR COMPARISON

Objective: To compare the operative stress after open and laparoscopic cholecystectomy by determining the blood glucose levels in patients. Study Design: A Series of comparative cases. Duration and Location: In the Department of Surgery, Unit II of Services Hospital, Lahore for one year duration form July 2017 to July 2018. Methods: Nine men and open cholecystectomy (N-25) and laparoscopic simple gallstones and 41 women with 50 patients, 20 to 60 years of age, total (N-25). Exclusions were pregnant women and patients of other age groups and those with other comorbidities and hepatitis. Patients were randomized to laparoscopic and open groups. At difference of 06 hours and then 18 hours of surgery Blood samples were taken from patients, his blood sugar was checked in the blood and the results were compared in the table and. Results: In the pre-operative cholecystectomy pre-blood sugar level was between 57 to 93 with (mean 76.08 +/- 3.6) and post-operative sugar level was 76-144 mg / dl post-level (average of 110,75 +/- 6.4ranged from mg / dL; The increase in blood sugar level is 46.1%. The preoperative level of blood glucose in laparoscopic cholecystectomy, was between 63 and 95 mg / dl and after 79-128 mg / dL (97.78 +/- 8.12 average) (mean 78.9 +/- 6.4); The blood sugar level percentage increases up to 23.9%. Conclusion: Patients operated with open cholecystectomy have much increased blood sugar level; than hose with laparoscopic cholecystectomy. Therefore, laparoscopic cholecystectomy produces less pronounced metabolic interference and stress response than open cholecystectomy