Baraza R
The Nairobi Hospital, P.O. Box 30026, Nairobi, Kenya.
East Afr Med J. 2005 Sep;82(9):473-6. doi: 10.4314/eamj.v82i9.9339.
Laparoscopic cholecystectomy is a recent entry in the treatment of gall bladder disease in Kenya and is slowly gaining acceptance. Like all new techniques, it has generated considerable controversy and debate on its merits over the traditional open operation.
To report a personal series of laparoscopic cholescystectomy operations, to determine the safety, effectiveness and acceptability of the method in a private hospital setting in Kenya and in general if this surgery should be promoted in this country.
Retrospective case study of personal series of laparoscopic cholecystectomy over a period of two years.
The Nairobi Hospital.
Forty two patients underwent the operation, five males and 37 females. There were three conversions to open cholecystectomy for various reasons, but the rest did well and results were favourable.
Although initial capital investment in laparoscopic equipment is high and although there is a learning curve for surgeons which discourages some, the method offers advantages which cannot be ignored. It is safe and gives patients great satisfaction. There is less pain than in the traditional open method, and patients have a shorter hospital stay and early return to work. Where facilities permit it should be practiced; future effort should be directed at making it safer and more widely accepted by training users.
腹腔镜胆囊切除术是肯尼亚胆囊疾病治疗领域的一项新技术，正逐渐被接受。与所有新技术一样，它在相对于传统开放手术的优点方面引发了相当多的争议和讨论。
报告个人的一系列腹腔镜胆囊切除术病例，确定该方法在肯尼亚一家私立医院环境中的安全性、有效性和可接受性，并总体判断该国是否应推广这种手术。
对两年内个人的一系列腹腔镜胆囊切除术进行回顾性病例研究。
内罗毕医院。
42例患者接受了手术，5例男性，37例女性。因各种原因有3例转为开腹胆囊切除术，但其余患者情况良好，结果令人满意。
尽管腹腔镜设备的初始资本投资很高，而且外科医生存在学习曲线，这让一些人望而却步，但该方法具有不可忽视的优势。它安全且让患者非常满意。与传统开放方法相比，疼痛更少，患者住院时间更短且能更早重返工作岗位。在有条件的地方应该开展这项手术；未来的努力应致力于通过培训使用者使其更安全、更广泛地被接受。
