Mini-laparotomy for cholecystectomy in resourced limited settings: a 10-year retrospective hospital-based study.

Autor: Bashir SI; University of Bakht Al-Ruda, Faculty of Medicine and Health Sciences, Department of General Surgery, Bakht, Sudan., Mohamed RBA; University of Bakht Al-Ruda, Faculty of Medicine and Health Sciences, Department of General Surgery, Bakht, Sudan., Owish KA; Department of Physiology, University of Bakht Al Ruda, Faculty of Medicine and Health Sciences, Bakht, Sudan., Abdalla AM; Trauma & Orthopedic Department, Omdurman Islamic University, Khartoum, Sudan., Abdullah AM; University of Bakht Al-Ruda, Faculty of Medicine and Health Sciences, Department of General Surgery, Bakht, Sudan., Ali YB; University of Bakht Al-Ruda, Faculty of Medicine and Health Sciences, Department of General Surgery, Bakht, Sudan.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2022 Aug 23; Vol. 42, pp. 304. Date of Electronic Publication: 2022 Aug 23 (Print Publication: 2022).
DOI: 10.11604/pamj.2022.42.304.32681
Abstrakt: Cholecystectomy is a commonly performed abdominal procedure, the gold standard currently is the laparoscopic approach and, however, the facilities and expertise for laparoscopy are not available widely, especially in developing countries. A Mini-laparotomy cholecystectomy is an additional approach that is performed through an incision that is less than 5 cm thus minimizing the complications of the traditional open cholecystectomy and the postoperative hospital stay. The study aims to evaluate the outcome of mini-laparotomy cholecystectomy in terms of operative duration, complications, and hospital stay in a rural hospital. This is a retrospective study conducted in El-Dwaim Teaching Hospital, Sudan. All cases of mini-laparotomy cholecystectomy conducted from March 2009 to December 2020 were included and retrospectively studied. Descriptive statistics were applied using SPSS version 25. A total of 512 mini-laparotomy cases were involved in the study, of those 442 aged more than 40 years. The operation lasted less than 60 minutes for 486 of the participants, and the most frequent cholecystitis complication observed intraoperatively was mucocele, occurring in 70 (13.6%) participants. Intraoperative complications due to mini-laparotomy occurred in 4 (0.8%) cases, in the form of bleeding and none of the observed cases converted into open cholecystectomy. Postoperative complications occurred in the form of wound infection in 7 participants, biliary leak in 1 participant, and fistula formation in 1 participant. Post-operative hospital stay was 24 hours for 458 participants. Mini-laparotomy cholecystectomy is a safe minimally invasive approach with low rates of complications and short postoperative hospital stay, making it an optimum approach in facility-deprived countries.
Competing Interests: The authors declare no competing interests.
(Copyright: Samir Ismail Bashir et al.)
Databáze: MEDLINE
Externí odkaz: