Operating During the COVID-19 Pandemic: An Emerging Indication for Minilaparotomy Cholecystectomy

Milne, David; Jarvis, Johnathan; Franklin, Rensi E; Thomas, Dexter; Naraynsingh, Vijay

doi:10.7759/cureus.11500

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…Although Minilaparotomic Cholecystectomy (MC), which is a surgical technique for AC, was shown to provide excellent alternative to LC, it may not be available in all healthcare centers (16). The patients who have surgically high-risk with AC may not be candidates for surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The median value for the duration of hospital stay was found to be 3 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) days in the prepandemic period, and 3(1-30) days in the pandemic period, and no statistically signi cant differences were detected between the groups (p = 0.794) (Table 2).…”

Section: The Comparison Of Pandemic and Prepandemic Groups And Evalua...mentioning

confidence: 96%

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The efficacy of percutaneous cholecystostomy in patients with acute cholecystitis before and during the COVID-19 pandemic. Is the percutaneous cholecystostomy procedure safe for patients and healthcare professionals in pandemic conditions?

Topal

Sönmez

Dağistanlı

2022

Preprint

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Purposes: The purpose of the present paper was to prove the efficacy of Percutaneous Cholecystostomy (PC) in the treatment of patients with Acute Cholecystitis (AC) before the COVID-19 pandemic and especially during the pandemic, and to show that it is a safe procedure for patients and healthcare professionals.Materials and Methods: The demographic data of the patients with AC who applied to our hospital, who underwent PC procedure in the 24-month and 12-month period before and during the pandemic, clinical and laboratory data, technical success of PC, clinical response to treatment, length of hospital stay, one-month postprocedural observation, and complications were compared.Results: PC was applied to a total of 124 patients in the pre-pandemic period (52) and pandemic period (72) examined in the study. The median age was 73.5 (25–93) in the pre-pandemic period, and 64 (23–90) in the pandemic period, and the difference between these was found to be significant (p = 0.004). Clinical improvement due to PC was detected in 43 (86%) patients in the pre-pandemic period, and in 61 (84.7%) patients in the pandemic period, no significant differences were detected between the two groups (p = 1.000). The day of hospitalization median value was 3 (1–18) days in pandemic period, and 3 (1–30) days in the pandemic period, and no significant differences were detected between the groups (p = 0.794).ConclusionPC treatment in patients with AC during the pandemic andpre-pandemicc period is effective and safe for both the patient and the healthcare professionals who perform the procedure.The efficacy of percutaneous cholecystostomy in patients with acute cholecystitis before and during the COVID-19 pandemic. Is the percutaneous cholecystostomy procedure safe for patients and healthcare professionals in pandemic conditions?

show abstract

Section: Discussionmentioning

confidence: 99%

Section: The Comparison Of Pandemic and Prepandemic Groups And Evalua...mentioning

confidence: 96%

The efficacy of percutaneous cholecystostomy in patients with acute cholecystitis before and during the COVID-19 pandemic. Is the percutaneous cholecystostomy procedure safe for patients and healthcare professionals in pandemic conditions?

Topal

Sönmez

Dağistanlı

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…During the COVID-19 pandemic, guidelines from regulatory bodies suggested caution with aerosolizing procedures like laparoscopy due to the potential risk to healthcare personnel, which generated renewed interest in alternative procedures like mini-laparotomy cholecystectomy. [ 11 ] This together with the disruption in the supply chain of consumables for laparoscopy in Nigeria due to the lockdown and coupled with the desire of patients to have the benefits of a minimally invasive procedure, created a need re-visit the procedure.…”

Section: Introductionmentioning

confidence: 99%

Preliminary experience with mini-laparotomy cholecystectomy in Jos

Ale,

Isichei,

Misauno

2023

J West Afr Coll Surg

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Background: Different techniques have been described for removing a diseased gall bladder; however, cholecystectomy via the laparoscopic approach is currently regarded as the gold standard. Laparoscopic surgery services are not widely available in low- and middle-income countries and mini-laparotomy cholecystectomy may be a suitable alternative in such circumstances. This technique achieves cholecystectomy with a smaller incision and affords the advantages of the laparoscopic approach. Objective: We report our experience over a 2-year period of 24 consecutive patients from two hospitals who underwent mini-laparotomy cholecystectomy to highlight our outcomes with the procedure. Materials and Methods: Data were obtained from the surgical theatre procedure register and medical records department of the hospital. Results: During the study period, a total of 24 mini-laparotomy cholecystectomies were performed. Fourteen (58.3%) patients had a clinical diagnosis of calculous cholecystitis whereas 10 (41.7%) patients had symptomatic gallstones. There were four males (16.7%) and 20 females (83.3%) giving a male-to-female ratio of 1:5. The ages ranged from 18 to 68 years with a mean of 46.8 years (standard deviation (SD) = 12.7 years) and the mean operating time was 56.3 min (SD = 7.5 min) and ranged from 45 to 72 min. There was no conversion to the traditional large incision cholecystectomy. There were no intra-operative or post-operative complications and there was no mortality in the study. All the patients were discharged 48 h post-op. Conclusion: Mini-laparotomy cholecystectomy offers the benefits of a minimally invasive procedure such as good cosmesis and short hospital stay. It has a relatively short operative time and a low incidence of complications and can be practised in a low-resource environment, where laparoscopic services are not available.

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Operating During the COVID-19 Pandemic: An Emerging Indication for Minilaparotomy Cholecystectomy

Cited by 2 publications

References 21 publications

The efficacy of percutaneous cholecystostomy in patients with acute cholecystitis before and during the COVID-19 pandemic. Is the percutaneous cholecystostomy procedure safe for patients and healthcare professionals in pandemic conditions?

The efficacy of percutaneous cholecystostomy in patients with acute cholecystitis before and during the COVID-19 pandemic. Is the percutaneous cholecystostomy procedure safe for patients and healthcare professionals in pandemic conditions?

Preliminary experience with mini-laparotomy cholecystectomy in Jos

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