Advancing laparoscopy in resource-limited settings
Abstract Background Although laparoscopic surgery has made remarkable progress and become the standard approach for various surgical procedures worldwide over the past 30 years, its establishment in low-resource settings, particularly in public hospitals, has been challenging. The lack of equipment...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-024-02387-2 |
| _version_ | 1797233865371156480 |
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| author | Surafel Mulatu Djote Daniel Ahmed Muhie Getachew Desta Alemayehu |
| author_facet | Surafel Mulatu Djote Daniel Ahmed Muhie Getachew Desta Alemayehu |
| author_sort | Surafel Mulatu Djote |
| collection | DOAJ |
| description | Abstract Background Although laparoscopic surgery has made remarkable progress and become the standard approach for various surgical procedures worldwide over the past 30 years, its establishment in low-resource settings, particularly in public hospitals, has been challenging. The lack of equipment and trained expertise has hindered its widespread adoption in these settings. Cholecystectomy is one of the most commonly performed procedures using laparoscopy world wide Aim The aim of the study is to determine whether laparoscopic cholecystectomy is feasible in a resource challenged setting Methods The research focused on individuals who underwent laparoscopic or open cholecystectomies at Yekatit 12 Hospital in Addis Ababa, Ethiopia, over a one-year period. Comprehensive data collection was conducted prospectively, encompassing both intraoperative and postoperative parameters. Follow-up was carried out via phone calls. The surgical procedures employed innovative techniques, including the reuse of sterilized single-use equipment and the utilization of local resources. The evaluation involved a comparison of demographic information, intraoperative details (such as critical view determination and operative duration), and postoperative complications, including assessments of pain and wound infections Results From August 2021 to September 2022, 119 patients were assessed. Among these patients, 65 (54.6%) underwent open cholecystectomies, while the remaining 54 (45.4%) underwent laparoscopic cholecystectomies. The average duration of the laparoscopic cholecystectomies was 90.7 min, which is 17.7 min behind the open. Patients in the laparoscopy group had significantly shorter hospital stays than the open group, and 94% were discharged by post operative day 2. The conversion rate from laparoscopic to open surgery was determined to be 3.3% Conclusion To sum up, the safe execution of laparoscopic cholecystectomies is feasible in public hospitals and settings with limited resources, given adequate training and resource distribution. The study findings showcased superior outcomes, including reduced hospitalization duration and fewer complications, while maintaining comparable levels of operative duration and patient satisfaction in both groups |
| first_indexed | 2024-04-24T16:22:57Z |
| format | Article |
| id | doaj.art-f7ae9c9bc4594951834ceb717299bbec |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-24T16:22:57Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-f7ae9c9bc4594951834ceb717299bbec2024-03-31T11:09:27ZengBMCBMC Surgery1471-24822024-03-012411710.1186/s12893-024-02387-2Advancing laparoscopy in resource-limited settingsSurafel Mulatu Djote0Daniel Ahmed Muhie1Getachew Desta Alemayehu2Department of Surgery, Yekatit 12 Hospital Medical CollegeDepartment of Surgery, Yekatit 12 Hospital Medical CollegeDepartment of Surgery, Yekatit 12 Hospital Medical CollegeAbstract Background Although laparoscopic surgery has made remarkable progress and become the standard approach for various surgical procedures worldwide over the past 30 years, its establishment in low-resource settings, particularly in public hospitals, has been challenging. The lack of equipment and trained expertise has hindered its widespread adoption in these settings. Cholecystectomy is one of the most commonly performed procedures using laparoscopy world wide Aim The aim of the study is to determine whether laparoscopic cholecystectomy is feasible in a resource challenged setting Methods The research focused on individuals who underwent laparoscopic or open cholecystectomies at Yekatit 12 Hospital in Addis Ababa, Ethiopia, over a one-year period. Comprehensive data collection was conducted prospectively, encompassing both intraoperative and postoperative parameters. Follow-up was carried out via phone calls. The surgical procedures employed innovative techniques, including the reuse of sterilized single-use equipment and the utilization of local resources. The evaluation involved a comparison of demographic information, intraoperative details (such as critical view determination and operative duration), and postoperative complications, including assessments of pain and wound infections Results From August 2021 to September 2022, 119 patients were assessed. Among these patients, 65 (54.6%) underwent open cholecystectomies, while the remaining 54 (45.4%) underwent laparoscopic cholecystectomies. The average duration of the laparoscopic cholecystectomies was 90.7 min, which is 17.7 min behind the open. Patients in the laparoscopy group had significantly shorter hospital stays than the open group, and 94% were discharged by post operative day 2. The conversion rate from laparoscopic to open surgery was determined to be 3.3% Conclusion To sum up, the safe execution of laparoscopic cholecystectomies is feasible in public hospitals and settings with limited resources, given adequate training and resource distribution. The study findings showcased superior outcomes, including reduced hospitalization duration and fewer complications, while maintaining comparable levels of operative duration and patient satisfaction in both groupshttps://doi.org/10.1186/s12893-024-02387-2Laparoscopic cholecystectomyOpen cholecystectomyCritical viewConversion rate |
| spellingShingle | Surafel Mulatu Djote Daniel Ahmed Muhie Getachew Desta Alemayehu Advancing laparoscopy in resource-limited settings BMC Surgery Laparoscopic cholecystectomy Open cholecystectomy Critical view Conversion rate |
| title | Advancing laparoscopy in resource-limited settings |
| title_full | Advancing laparoscopy in resource-limited settings |
| title_fullStr | Advancing laparoscopy in resource-limited settings |
| title_full_unstemmed | Advancing laparoscopy in resource-limited settings |
| title_short | Advancing laparoscopy in resource-limited settings |
| title_sort | advancing laparoscopy in resource limited settings |
| topic | Laparoscopic cholecystectomy Open cholecystectomy Critical view Conversion rate |
| url | https://doi.org/10.1186/s12893-024-02387-2 |
| work_keys_str_mv | AT surafelmulatudjote advancinglaparoscopyinresourcelimitedsettings AT danielahmedmuhie advancinglaparoscopyinresourcelimitedsettings AT getachewdestaalemayehu advancinglaparoscopyinresourcelimitedsettings |