Adisa Adewale Oluseye, Lawal Oladejo Olukayode, Adejuyigbe Olusanya
Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Obafemi Awolowo University, Ile-Ife 220005, Osun State, Nigeria.
Niger J Surg. 2017 Jul-Dec;23(2):102-105. doi: 10.4103/njs.NJS_56_16.
There still exist some concerns about the desirability of laparoscopic surgery in lower-middle income countries. We recently adopted laparoscopy for common general surgical procedures and observed many benefits. This study aims to describe the changing rate of cholecystectomy before and after the introduction of laparoscopy in our hospital.
We reviewed the records of cholecystectomies performed before and after the introduction of laparoscopic cholecystectomy (LC) in 2009 in a single general surgery unit of the Ife Hospital Unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Cholecystectomy was reviewed as a percentage of general procedures performed, and postoperative length of stay was calculated.
A total of 173 cholecystectomies were performed in the hospital between January 2005 and December 2015. The yearly number rose from 7 in 2005 to 31 in 2015 corresponding to 2.7% of total elective major general surgery procedures in 2005 and 9.1% in 2015. A marked progressive increase was observed in the number and rate of cholecystectomies from 2009 following introduction of LC. From 0% in 2005, LC rose to 90% of all cholecystectomies in 2015. The mean postoperative length of stay of patients undergoing cholecystectomy declined from 5.2 days in 2005 to 3 days in 2009 and 1.8 days in 2015.
This study demonstrates an increased rate of cholecystectomy following the introduction of LC in our setting. We recommend increased adoption of laparoscopy and other forms of minimally invasive surgery across the country.
在中低收入国家，腹腔镜手术的适用性仍存在一些问题。我们最近在普通外科常见手术中采用了腹腔镜技术，并观察到了诸多益处。本研究旨在描述我院引入腹腔镜技术前后胆囊切除术的变化率。
我们回顾了2009年在尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院综合体伊费医院普通外科单元引入腹腔镜胆囊切除术（LC）前后所进行的胆囊切除术记录。将胆囊切除术作为所施行普通手术的百分比进行回顾，并计算术后住院时间。
2005年1月至2015年12月期间，该医院共进行了173例胆囊切除术。年手术例数从2005年的7例增至2015年的31例，分别占2005年和2015年所有择期重大普通外科手术的2.7%和9.1%。自2009年引入LC后，胆囊切除术的数量和比例显著逐步增加。从2005年的0%，LC在2015年升至所有胆囊切除术的90%。接受胆囊切除术患者的平均术后住院时间从2005年的5.2天降至2009年的3天以及2015年的1.8天。
本研究表明在我们的环境中引入LC后胆囊切除术的比例有所增加。我们建议在全国范围内更多地采用腹腔镜技术及其他形式的微创手术。
