Mini-cholecystectomy: A 5-year retrospective cross-sectional study
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Date
2020-10
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Addis Abeba University
Abstract
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 minicholecystectomy.
Conversion 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.
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Keywords
Mini-cholecystectomy,Gallstone disease, surgical pathology