Browsing by Author "Bekele Solomon"

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    Mini-cholecystectomy: A 5-year retrospective cross-sectional study
    (Addis Abeba University, 2020-10) Bekele Solomon; Ersumo Tessema; Tamirat Girmaye
    Background: Gallstone disease is one of the most common surgical pathology. cholecystectomy is main mode of management for gallstones. Laparoscopic cholecystectomy, open cholecystectomy, and mini cholecystectomy are options for surgical removal of the gallbladder.Several studies showed that minicholecystectomy offers minimal trauma to the patient with similar complication rate. Objectives: This study is aimed to determine and analyze the outcomes of Mini-Cholecystectomy performed at Betezatha General Hospital from January 1, 2014 to December 31, 2019. Patients and Methods: A 5-Year retrospective cross-sectional study ofall patients who underwent mini-cholecystectomies from January 1, 2014 through December 31, 2019 at Betezatha General Hospital. Results: A total of 206 patients underwent mini-cholecystectomy. With a male to female ratio of 1:6. Most patients (57%) presented with RUQ pain. Almost 70% of patients were found to have at least one comorbidity along with gallstone disease. The average operation time was 35minutes. Patients with chronic contracted cholecystitis were found to have difficult mini cholecystectomy. aConversion rate to standard cholecystectomy was 2.9%. Bile duct injury occurred in 1 patient (0.45%). Almost all patients (98%) had hospital stay of less than 72hrs. Conclusions: Mini-cholecystectomy is a safe method of cholecystectomy which can be practiced in a resource limited setting without undue complications.