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Preliminary Experience with Mini-Laparotomy Cholecystectomy in Jos
Alexander Femi Ale1, Mercy W Isichei1, Michael A Misauno1
1Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Journal of the West African College of Surgeons
|March 15, 2024
Summary
Mini-laparotomy cholecystectomy is a safe and effective alternative to laparoscopic gallbladder removal, especially in resource-limited settings. This minimally invasive technique offers good cosmetic results and short recovery times without complications.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical outcomes
Background:
- Laparoscopic cholecystectomy is the standard for gallbladder removal.
- Laparoscopic services are limited in low- and middle-income countries.
- Mini-laparotomy cholecystectomy presents a viable alternative in these settings.
Purpose of the Study:
- To report the outcomes of mini-laparotomy cholecystectomy.
- To evaluate the feasibility of this technique in a real-world setting.
Main Methods:
- A retrospective review of 24 consecutive patients undergoing mini-laparotomy cholecystectomy.
- Data collected from surgical theatre registers and medical records.
Main Results:
- 24 procedures were performed for gallstones or cholecystitis.
- Mean age was 46.8 years; 83.3% were female.
- No conversions to open surgery, complications, or mortality occurred; 48-hour post-operative discharge was standard.
Conclusions:
- Mini-laparotomy cholecystectomy provides benefits of minimally invasive surgery, including cosmesis and short hospital stay.
- It features a short operative time and low complication rates.
- This technique is suitable for low-resource environments lacking laparoscopic facilities.
