Comparison of complications of open and laparoscopic cholecystectomy in diabetic patients

Cholecystectomy is one of the most common surgical procedures and laparoscopy is often preferred. Cholecystectomy is indicated in diabetic patients with gall stones because of higher risk of this condition even in asymptomatic patients. In this study we compared open and laparoscopic cholecystectomy in diabetic patients. This randomized controlled trial was performed in Imam Reza Hospital in Kermanshah from 2010 to 2012. 124 diabetic patients with confirmed diagnosis of symptomatic biliary stones were randomly assigned to two equal groups. 62 patients underwent open cholecystectomy and laparoscopic cholecystectomy was performed for 62 patients. Both groups were similar in relation to distribution of age، sex and BMI. The duration of laparoscopic surgery was longer than the duration of open cholecystectomy and this difference was statistically significant (p< 0. 0001). The duration of hospitalization was longer in open group (p< 0. 001). The costs of treatments did not show any significant statistical difference between the groups. The incidence of injury to biliary ducts was equal in both groups (p =0. 99). Considering lower morbidity and shorter duration of hospitalization، laparoscopic cholecystectomy is a safe procedure and is the surgical method of choice for cholecystectomy in diabetic patients with symptomatic biliary stones.