"A COMPARATIVE STUDY BETWEEN FRENCH AND AMERICAN APPROACH TO LAPAROSCOPIC CHOLECYSTECTOMY".

Background:The laparoscopic cholecystectomy is now unquestionably the "gold standard" for the surgical treatment of gallbladder diseases. Even some conditions that were once considered absolute contraindications to laparoscopic cholecystectomy, such as Mirizzi's syndrome and situs visceruminversus1-3, can now be treated with laparoscopy, limiting open surgery to a small number of cases, with mini laparotomic techniques used in some cases4. AIM:To assess the efficacy of French and American methods of laparoscopic cholecystectomy and to find the better option in terms of surgeon's ergonomics and their satisfaction among French and American methods of laparoscopic cholecystectomy Material & Methods: Study Design: A prospective comparative study. Study area: The study was done at surgery department, Subbaiah Institute of Medical Sciences, Shimoga. Study Period: June 2021 - Dec.2021. Study population: Patients attending outpatient and inpatient department of General surgery with gallbladder stones during the study period were included in the study. Sample size: 50 cases were included in our study. Study tools and Data collection procedure: Patients attending the outpatient and inpatient department of general surgery with gall bladder stones were included in the study. The individual participants were explained about the study and they were also assured that, their identity would be kept strictly confidential and they have the option to refuse participation in the study at any time. Data analysis: The data was entered in excel sheet and analyzed using SPSS (Version 20). Descriptive statistics with mean, standard deviation and proportions (%) were calculated for quantitative variables. To test the hypothesis Chi Square test and independent sample t tests were used. p value <0.05 was considered as statistically significant. Results: In this current study the mean operative time for surgical procedure was recorded as 69.5±19.5 mins in American approach and 60.1±8.6mins in French approach, the difference between both the approaches was statistically significant for mean operative time (p value 0.0323). CONCLUSION: Thus from this study, we infer that French approach is comparatively better than American approach both in terms of efficacy of the procedure and on ergonomic grounds of the surgeons. [ABSTRACT FROM AUTHOR]