Bekele Solomon, Biluts Hagos
Myungsung Christian medical Center, Ethiopia, Addis Ababa, Ethiopia.
Ethiop Med J. 2012 Jul;50(3):251-7.
Laparoscopic cholecystectomy is a recent entry in the treatment of gall bladder disease in Ethiopia mainly in private hospitals of the capital city, Addis Ababa, and is slowly gaining acceptance. Like all new techniques, it has generated considerable controversy and debate on its merits over the traditional open operation.
The aim of this study was to review our experience of laparoscopic cholecystectomy at Myungsung Christian Medical in, Ethiopia
A hospital based retrospective cross sectional analysis was conducted in Myungsung Christian Medical Center, Addis Ababa, Ethiopia. Patients' medical records and operation theater registers of 681 patients for whom laparoscopic cholecystectomy were done for symptomatic and complicated cholelithiasis, between January 2005 and December 2009 were analyzed using computer based statistical software SPSS version 11.0. Difference in proportions were examined using Chi-square test with its conventional criterion for statistical significance (p < 0.05).
The female to male ratio was 6.6:1 with mean age of 44.4 [Standard Deviation, 0.53] years. Of the six hundred eighty-one patients admitted and planned for laparoscopic cholecystectomy, 661 (97.1%) patients completed the procedure successfully (p < 0.0001) and the procedure was converted to open surgery in 20 (2.9%) for various reasons. Mean duration of operation and hospital stay were 58.9 +/- 18.2 [SD] minutes and 36.9 +/- 10.9 [SD] hours respectively. Postoperative mortality and complication rate were 0.15% and 2.94% respectively.
LC is safe and effective procedure even in difficult cholelithasis (p < 0.0001), in addition the merit of laparoscopic cholecstectomy include fast recovery, minimal tissue trauma, less postoperative hospital stay (p < 0.0001). Hence, LC could be practiced by general surgeons working in third world countries.
腹腔镜胆囊切除术是埃塞俄比亚近期用于治疗胆囊疾病的方法，主要在首都亚的斯亚贝巴的私立医院开展，并且逐渐被接受。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。
本研究的目的是回顾我们在埃塞俄比亚明成基督教医疗中心进行腹腔镜胆囊切除术的经验。
在埃塞俄比亚亚的斯亚贝巴的明成基督教医疗中心进行了一项基于医院的回顾性横断面分析。使用基于计算机的统计软件SPSS 11.0版分析了2005年1月至2009年12月期间因有症状和复杂胆结石而接受腹腔镜胆囊切除术的681例患者的病历和手术室登记记录。使用卡方检验及其传统的统计学显著性标准（p < 0.05）检查比例差异。
男女比例为6.6:1，平均年龄为44.4 [标准差，0.53]岁。在681例入院并计划进行腹腔镜胆囊切除术的患者中，661例（97.1%）患者成功完成了手术（p < 0.0001），20例（2.9%）因各种原因转为开放手术。平均手术时间和住院时间分别为58.9 +/- 18.2 [标准差]分钟和36.9 +/- 10.9 [标准差]小时。术后死亡率和并发症发生率分别为0.15%和2.94%。
即使在困难的胆结石病例中，腹腔镜胆囊切除术也是安全有效的手术（p < 0.0001）。此外，腹腔镜胆囊切除术的优点包括恢复快、组织创伤小、术后住院时间短（p < 0.0001）。因此，第三世界国家的普通外科医生可以开展腹腔镜胆囊切除术。
