Open minimally invasive cholecystectomy in Khartoum North Teaching Hospital, Sudan
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
The laparoscopic approach is the procedure of choice for cholecystectomy, but the cost of such an operation is very high and has a higher risk of biliary injury when compared with conventional open cholecystectomy. Open cholecystectomy through a small incision (Mini-cholecystectomy) is an alternative to other mean of cholecystectomies. The objective was to evaluate a single unit result of cholecystectomy through 3-5 cm incision for treatment of gallstones diseases in terms of length of surgery, complications, hospital stay and operator. We conducted a prospective cross-sectional study from 1 January 2006 through 31 December 2009. All operations upon the gallbladder in our surgical unit in Khartoum North Teaching Hospital with elective admission and responsibility for surgical training were done as intended small-incision open cholecystectomy. Ethical clearance was obtained prior to conduct this study. Data were managed statistically using SPSS computer package for window version 21. It included 103 patients (87 females and 16 males) with female to male ratio of 5.4:1. Their mean age was + years. All patients were treated by mini-incision 3-5 cm approach (42.7% by consultant and 57.3% by registrar). The incidence of operative complications was 3.9% (bleeding, and bile leak). Complication was affected by gender, but not affected by age of the patients and the operator as p was 0.04, 0.8, and 0.06 respectively. No mortality was recorded. Mean postoperative analgesia was 3.4+ 1.7 doses. Mean postoperative hospital stay was 1.3+0.9 days (range, 1-6 days). Cholecystectomy through mini-cholecystectomy is a safe procedure. It may be recommended as a procedure of choice where laparoscopic facilities are not available. However, we need more sample sizes in the future to conclude its’ accurate benefit. Keywords: Gall bladder stone disease; Mini- cholecystectomy (MC)
Authors and Affiliations
Mohammed E. Adam, Saadeldin A. Idris
Keywords
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