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Published on: September 27, 2024
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
Background:
Laparoscopic cholecystectomy is not yet routinely performed in most public tertiary hospitals in Nigeria.
Objectives:
To assess the feasibility and early outcoe of laparoscopic cholecystectoy in Ile-ife, Nigeria.
Method:
Consecutive patients who were selected for the procedure from June 2009 through December 2010 at the Ife State Hospital of the ObafemiAwolowo University Teaching Hospitals Complex, Ile-Ife were prospectively studied.
Results:
Eighteen female (75%) and six male patients had laparoscopic cholecystectomy within the study period. They were aged 19-83 years with a mean age of 33.4 years. Six (25%) patients had acute calculous cholecystitis while the rest presented with chronic calculous cholecystitis. Their Body Mass Indices ranged from 21 to 32kg/m2. Operation time ranged from 65 to 105 minutes. One procedure (4%) was converted to open due to bleeding from the gallbladder bed. Another patient who had a minor common bile duct injury presented with generalized dull abdominal pain on the sixth postoperative day. She had open repair of the injury over a T-tube. Three patients (12.5%) were discharged on the first postoperative day while 15 (62.5%) others were discharged on the second postoperative day. No mortality was recorded.
Conclusion:
Laparoscopic cholecystectomy is feasible in our setting with outcome comparable to previous pioneering experiences in other African countries centre in spite of resource limitations.
