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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 2, 2014, pp. 12-16
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Bioline Code: js14027
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 2, 2014, pp. 12-16
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Laparoscopic Cholecystectomy: A 15-years Experience at a Single Centre, Wad Medani, Sudan.
Mohamed, Mustafa I.; Abdalla, Ahmed A.; Alshaikh, Ahmed A.; Musa, Hassan A.; Ali, MagdAldin A.; Elhaj, Mohamed E.M. & Alhadi, Mohamed M.H.
Abstract
Background:
Since 1998, laparoscopic cholecystectomy continues to be the procedure of
choice for nonmalignant gallbladder disease in the Gezira Centre for Endoscopic and
Laparoscopic Surgery. This study was aimed at analyzing the large series of laparoscopic
cholecystectomies and to compare our results with those reported in the literature
concerning complications and outcomes.
Methods:
The study population consisted of 2842 patients with gallbladder disease who
underwent laparoscopic cholecystectomy from September 1998 to September 2013. Clinical
data was abstracted from the completed records of the 2842 patients. We analyzed the
successfulness of the results, intra-operative and postoperative complications, the
conversions to open cholecystectomy, morbidity and mortality rate.
Results:
2842 patients underwent laparoscopic cholecystectomy. Intraoperative
complications were excessive bleeding necessitating conversion in 0.74 % and biliary ducts
injury in 0.31%. Postoperative complications were wound infection in 0.21%, incisional
umbilical hernias in 0.28% of patients and the conversion to open cholecystectomy was
necessary in 5.13%. The mortality rate was 0.21%.
Conclusions:
Our results on large number of patients are more or less similar to other
series in the newer literature but the rate of complications should be decreased. The
incidence of complications decreases with growing laparoscopic experience.
Keywords
laparoscopic; open; cholecystectomy; conversion
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© Copyright 2014 - East and Central African Journal of Surgery
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