Laparoscopic Cholecystectomy In The Academy Medicalcentre, Khartoum, Sudan

Salam, I. M. A.; Own, Ali; Kareem, Nashra; Hameed, Othman; Yak, C. J.; Zaki, K. A.

doi:10.4314/eamj.v82i1.9287

Cited by 5 publications

(6 citation statements)

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“…Conversion to OC can result in significant changes in the outcome of patients regarding the duration of hospital stay and postoperative complications. 18 In our study, the conversion rate was 3.33%, which was comparable to studies done in Nepal, India, and Pakistan. 11,13,19,21, However, another study done in Baghdad, Saudi Arabia, and Nepal had a conversion rate of 5.2%, 5.5%, and 7.2% and 9.2% respectively 3,8,9,22 which had a higher conversion rate than our study.…”

Section: Thissupporting

confidence: 88%

“…16,17 However, a study done in Sudan and India had a mean operative duration of 47 minutes and 55 minutes respectively. 18,19 There is significant variation regarding conversion to open cholecystectomy ranging from 5 to 10%. Conversion to OC can result in significant changes in the outcome of patients regarding the duration of hospital stay and postoperative complications.…”

Section: Thismentioning

confidence: 99%

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Profile of Laparoscopic Cholecystectomy: A Cross-Sectional Study From Tertiary Centre of Central Nepal

Kurmi,

Mishra,

Bhattarai

et al. 2023

JCMC

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Background: Laparoscopic cholecystectomy (LC) is the gold standard method for the treatment of cholelithiasis as it causes less patient discomfort, shorter postoperative hospital stay, early return to work, better cosmesis, and less financial burden. The objective of this study was to evaluate the outcome of LC in Chitwan Medical College Teaching Hospital, Nepal. Methods: This was the descriptive cross-sectional study carried out in the Department of General Surgery from May 2022 to December 2022 after taking ethical approval from Institutional Review Committee. A convenience sampling technique was used and the data was analyzed using Statistical Package for the Social Sciences version 21. Point estimate and 95% confidence interval was calculated. Results: Out of 270 patients, the ratio of female to male was 4.18:1 with a mean age of 47.13±14.95. Most common indication was symptomatic cholelithiasis 207 (76.7%). The overall mean operative duration was 64.72±29.03 minutes with a conversion rate to open cholecystectomy (OC) was 9 (3.33%) (1.20-5.46, 95% CI), primarily due to unclear anatomy with dense adhesion and a single case of bile duct injury accounting for a prevalence of 0.37% (-0.35 to 1.9, 95% CI). The post-operative complication was 9 (3.33%) and the mean duration of postoperative hospital stay was 2.18±1.05 days with no mortality. Conclusions: The current study shows that LC is safe and effective method of treatment for cholelithiasis, and the results are comparable to those from different parts of world.

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Section: Thissupporting

confidence: 88%

Section: Thismentioning

confidence: 99%

Profile of Laparoscopic Cholecystectomy: A Cross-Sectional Study From Tertiary Centre of Central Nepal

Kurmi,

Mishra,

Bhattarai

et al. 2023

JCMC

View full text Add to dashboard Cite

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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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“…These drugs are able to depress the hypothalamic thermoregulation and generate shivering as a compensatory mechanism [10]. In our study, the long surgical time (82 ± 5 min) as compared with others [29] can account for the sustained hypothermia, the increased hemodynamic values, and the shivering observed in patients who received passive external rewarming. The increased values of hemodynamic variables in the hypothermic patients of this study could result from the adrenergic response to hypothermia, which has been supported by others [30,31].…”

Section: Discussionmentioning

confidence: 58%

Active core rewarming avoids bioelectrical impedance changes in postanesthetic patients

et al. 2011

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BackgroundPostoperative hypothermia is a common cause of complications in patients who underwent laparoscopic cholecystectomy. Hypothermia is known to elicit electrophysiological, biochemical, and cellular alterations thus leading to changes in the active and passive membrane properties. These changes might influence the bioelectrical impedance (BI). Our aim was to determine whether the BI depends on the core temperature.MethodsWe studied 60 patients (52 female and 8 male) age 40 to 80 years with an ASA I-II classification that had undergone laparoscopic cholecystectomy under balanced inhalation anesthesia. The experimental group (n = 30) received active core rewarming during the transanesthetic and postanesthesic periods. The control group (n = 30) received passive external rewarming. The BI was recorded by using a 4-contact electrode system to collect dual sets of measurements in the deltoid muscle. The body temperature, hemodynamic variables, respiratory rate, blood-gas levels, biochemical parameters, and shivering were also measured. The Mann-Whitney unpaired t-test was used to determine the differences in shivering between each group at each measurement period. Measurements of body temperature, hemodynamics variables, respiratory rate, and BI were analyzed using the two-way repeated-measures ANOVA.ResultsThe gradual decrease in the body temperature was followed by the BI increase over time. The highest BI values (95 ± 11 Ω) appeared when the lowest values of the temperature (35.5 ± 0.5°C) were reached. The active core rewarming kept the body temperature within the physiological range (over 36.5°C). This effect was accompanied by low stable values (68 ± 3 Ω) of BI. A significant decrease over time in the hemodynamic values, respiratory rate, and shivering was seen in the active core-rewarming group when compared with the controls. The temporal course of shivering was different from those of body temperatue and BI. The control patients showed a significant increase in the serum-potassium levels, which were not seen in the active-core rewarming group.ConclusionsThe BI analysis changed as a function of the changes of core temperature and independently of the shivering. In addition, our results support the beneficial use of active core rewarming to prevent accidental hypothermia.

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Laparoscopic Cholecystectomy In The Academy Medicalcentre, Khartoum, Sudan

Cited by 5 publications

References 0 publications

Profile of Laparoscopic Cholecystectomy: A Cross-Sectional Study From Tertiary Centre of Central Nepal

Profile of Laparoscopic Cholecystectomy: A Cross-Sectional Study From Tertiary Centre of Central Nepal

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

Active core rewarming avoids bioelectrical impedance changes in postanesthetic patients

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