The Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago.
The Department of Surgery, Cayman Islands Hospital, Grand Cayman, British West Indies, Cayman Islands.
Int J Surg. 2014;12(8):798-802. doi: 10.1016/j.ijsu.2014.06.006. Epub 2014 Jun 16.
The outcomes of emergent laparoscopic cholecystectomy (LC) for acute cholecystitis have not been documented in the low-volume, resource-poor Caribbean setting.
This study was carried out in a low-resource setting across three islands in the Anglophone Caribbean.
The records of all consecutive patients who had emergency LC for acute cholecystitis over 82 months were examined. The data were extracted and analysed using SPSS version 14.
There were 74 patients with acute cholecystitis at a mean age of 45 (SD 11.8) years. The mean duration of operation was 99 (SD 45) min. There were 3 (4.1%) conversions and 6 (8.1%) complications. No bile duct injuries or deaths were recorded. There was more morbidity in patients with complicated disease, longer mean operation times and longer mean intervals between admission and operation.
Emergent LC for acute cholecystitis is effective and safe in a low-volume setting in the Caribbean. However, the operations are technically demanding and should be performed by trained laparoscopic surgeons.
在资源匮乏的加勒比低容量环境中，尚未记录紧急腹腔镜胆囊切除术（LC）治疗急性胆囊炎的结果。
这项研究在安哥拉语加勒比地区的三个岛屿上的低资源环境中进行。
检查了 82 个月内所有连续因急性胆囊炎接受急诊 LC 的患者的记录。使用 SPSS 版本 14 提取和分析数据。
74 例急性胆囊炎患者的平均年龄为 45 岁（SD 11.8）。手术平均时间为 99 分钟（SD 45）。有 3 例（4.1%）转为开腹手术，6 例（8.1%）发生并发症。没有胆管损伤或死亡记录。患有复杂疾病的患者发病率更高，平均手术时间更长，入院和手术之间的平均间隔时间更长。
在加勒比地区的低容量环境中，紧急 LC 治疗急性胆囊炎是有效且安全的。然而，这些手术技术要求较高，应由经过培训的腹腔镜外科医生进行操作。
