Laparoscopic cholecystectomy in black patients at Ga-Rankuwa hospital: a feasibility study

Muyanga, J.; Ghoor, F.O.; Modiba, M.C.M.

doi:10.4314/cajm.v45i7.8479

Cited by 4 publications

(5 citation statements)

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“…In addition, one hospital in UB that has a high volume of laparoscopic surgery had an average LOS of 24 h. This reduction in hospital stays has been well documented in both the developed and developing world. An analysis of laparoscopic cholecystectomy at Ga‐Rankuwa Hospital in Africa showed an initial reduction in hospital stay from 6.9 to 3.5 days ( p < 0.001) [9]. As experience increases in Erdenet, it is likely that LOS will be further reduced, as occurred in the hospitals in UB.…”

Section: Discussionmentioning

confidence: 99%

Expanding Laparoscopic Cholecystectomy to Rural Mongolia

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Expanding Laparoscopic Cholecystectomy to Rural Mongolia

et al. 2011

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“…The conversion rate of 1.9% compares very favourably to other series from Africa that range from 5-18%. [6][7][8][9][10] This low conversion rate is likely to rise as other surgeons in this hospital begin to perform the procedure with its attendant steep learning curve. 6 Significant bleeding occurs in 0.5% of LC and is one of the common reasons for conversion.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy at the Korle Bu Teaching Hospital, Accra, Ghana: An initial report

Clegg-Lamptey¹,

Amponsah²

2011

West African Journal of Medicine

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BACKGROUND: Laparoscopic cholecystectomy (LC) the preferred treatment for gallstones was not available in Ghana until 2005. OBJECTIVE: To report experience from Ghana of laparoscopic cholecystectomy in the treatment of galestones. METHODS: In a prospective study of patients with gallstones, information was obtained on demography, duration of various stages of the operation, analgesia and complication of patients with gallstones. All patients had general anaesthesia using endotracheal intubation, muscle relaxant and intermittent positive pressure ventilation. A standard four-trocar technique and maximum pneumoperitoneum pressure of 14mmHg were maintained during surgery. RESULTS: There were 50 women and two men aged 17-72 years (mean 44.2 years). All had symptomatic gallstones treated by interval LC. The main indications were biliary colic 23(44%) and previous cholecystitis 15(29%). There were scars from previous abdominal surgery in 22 (42%), mainly pfannenstiel. The Verres needle was used to obtain pneumoperitoneum in 40 (77%). Only one patient (1.9%) had the operation converted to open cholecystectomy. Most patients, 47/51 (92%), were discharged in 24 hours. The mean durations of various stages were: anaesthesia (110 minutes), pneumo-peritoneum (67.5 minutes) and reverse trendelenburg (47.8 minutes). The mean operating time reduced from 81 to 68 minutes in the last 20 patients. Complications were sore throat 11(21.6%), infection of the umbilical wound 3(5.9%), right shoulder tip pain (3; 5.9%) and bile leak 1(2%). There was no peri-operative mortality. CONCLUSION: Elective laparoscopic cholecystectomy can be performed with good results in patients with symptomatic gallstones in Accra. WAJM 2010; 29(2): 113-116.

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“…Despite a few preliminary reports about minimally invasive surgery in developing countries [2,12,14,16,18], there are no published reports evaluating, the cost effectiveness of endoscopic surgery in developing African countries. This report aimed to evaluate costs, limits, and bene®ts of endoscopic surgery in Senegal, and to discuss the rationale for introducing endoscopic surgery in developing countries generally.…”

Section: Discussionmentioning

confidence: 95%

“…In countries that cannot aord an expensive medical care system, a cost-eective surgery is of outstanding importance. Despite limited economic resources some endoscopic activity has been reported in the literature by several African institutions [2,12,14,16,18].…”

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confidence: 99%