Document Detail


Laparoscopic cholecystectomy in the Academy Medical Centre, Khartoum, Sudan.
MedLine Citation:
PMID:  16122105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To highlight the results of minimum access surgery in Sudanese patients. DESIGN: Prospective audit of laparoscopic cholecystectomies. SETTING: The Academy Medical center (Yastabshiroon), Teaching University Hospital. SUBJECTS: All the patients who had this type of surgery were included in the study. Clinical and operative data were evacuated from March 2002 to March 2004. MAIN OUTCOME MEASURES: One hundred and twenty patients had laparoscopic cholecystectomy at the center. There were 97 females and 23 males; age range was 22-90 years with a mean of 52 years. Indications for surgery were repeated attacks of biliary colic in 38, chronic cholecystitis in 60, acute cholecystis in 10 and mucocele in 12 patients. RESULTS: Three patients with chronic cholecystitis had peri-portal fibrosis due to bilharzial infestations, in spite of which laparoscopic surgery was successful. Operating time was 25-120 minutes with a mean of 47 minutes. Conversion was performed in six (2%) patients because of bleeding and four for extensive dense adhesions. There was one mortality case of a 75-year-old female who had pulmonary embolus. Hospital stay was 16-24 hours with a mean of 22 hours. Two patients had port site discharge. CONCLUSION: In general, patients were satisfied with the results of surgery and this encourages us to popularise this procedure to take off in the Sudan.
Authors:
I M A Salam; A Own; N A Kareem; O A Hameed; C J Yak; K A Zaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  82     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-08-26     Completed Date:  2005-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  Kenya    
Other Details:
Languages:  eng     Pagination:  10-3     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, Academy of Medical Sciences and Technology, P.O. Box 12810, Khartoum, Sudan.
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers
Acute Disease
Adult
Aged
Aged, 80 and over
Cholecystectomy, Laparoscopic* / adverse effects,  methods,  mortality,  psychology
Cholecystitis / etiology,  surgery
Chronic Disease
Female
Hospital Mortality
Humans
Length of Stay / statistics & numerical data
Male
Medical Audit
Middle Aged
Morbidity
Patient Satisfaction
Patient Selection
Prospective Studies
Pulmonary Embolism / etiology
Sudan / epidemiology
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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