Hana Gebreselassie, MD, Surgery Resident, Mahteme Bekele, MD, Assistant Proffesor of Surgery. St. Paul Hospital Millenium Medical Collage
Introduction: This study is aimed to determine the pattern of cholecystectomy and to compare open and laparoscopic cholecystectomy in terms of operation time, post op hospital stay, morbidity and mortality in St. Paul Hospital Millennium Medical Collage, Addis Ababa. Unlike most of the western countries, laparoscopic cholecystectomy is only recently introduced and being practiced in few health institutions in Ethiopia. Data regarding the safety and outcome of this procedure in comparison to the routine open cholecystectomy is lacking in this set up.
Methods and procedures: A comparative retrospective cross sectional study was conducted by reviewing medical records of patients who have undergone cholecystectomy in the first three years of introduction of laparoscopic cholecystectomy for gallstone disease in St. Paul Hospital Millennium Medical Collage. The association among the different variables was analyzed using an independent-samples T- test and comparison of proportions, considering a confidence interval of 95%, a P value < 0.05 was considered significant.
Results: A total of 471 cholecystectomies were performed in the study period. The proportion of cholecystectomies which were done laparoscopically increased through the study period from15.6% to 41.9%. Based on independent-samples t-test, there was no significant difference between the operation time of the two groups (t=1.849, P=0.066). However the difference between the post op hospital stay was found to be significant (t=4.615, P=0.000). The morbidity and mortality rates of the two groups was analyzed by comparison of their proportions and it revealed no significant difference (α=0.012 and α= 0.0042 respectively).
|outcome measure||Open cholecystectomy||
|Mean operation time||52.96 minutes||57.59 minutes|
|Mean post op hospital stay||3.42 days||2.45 days|
Table 1: outcomes of open and laparoscopic cholecystectomy
CONCLUSION: Based on the results of this study it can be concluded that laparoscopic cholecystectomy is a safe and effective procedure. Hence, it should be considered as the gold standard procedure for gall stone disease in the Ethiopian set up too.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77777
Program Number: P085
Presentation Session: Poster (Non CME)
Presentation Type: Poster