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Laparoscopic cholecystectomy in Ile-Ife, Nigeria
A O Adisa1, O O Lawal, O A Arowolo
1Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria. wadisc@yahoo.com
African Journal of Medicine and Medical Sciences
|March 21, 2012
Summary
Laparoscopic cholecystectomy is feasible in Nigerian public hospitals, demonstrating comparable outcomes to other African centers despite resource limitations. This minimally invasive procedure shows promise for broader adoption.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical outcomes research
Background:
- Laparoscopic cholecystectomy (LC) is underutilized in Nigerian public tertiary hospitals.
- Assessing the feasibility of LC is crucial for improving surgical care in resource-limited settings.
Purpose of the Study:
- To evaluate the feasibility and early outcomes of laparoscopic cholecystectomy.
- To establish baseline data for LC implementation in Ile-Ife, Nigeria.
Main Methods:
- Prospective study of consecutive patients undergoing LC from June 2009 to December 2010.
- Data collected on patient demographics, diagnoses, operative details, and postoperative recovery.
Main Results:
- 24 patients (18 female, 6 male) underwent LC, aged 19-83 years.
- Complications included one conversion to open surgery (4%) due to bleeding and one common bile duct injury.
- Most patients were discharged within 1-2 days post-operation, with no mortality.
Conclusions:
- Laparoscopic cholecystectomy is feasible in the Nigerian setting.
- Outcomes are comparable to pioneering experiences in other African centers, even with resource constraints.
- This study supports the wider adoption of LC in similar healthcare environments.
