Balogun O S, Osinowo A O, Olajide T O, Lawal A O, Adesanya A A, Atoyebi O A, Bode C O
Department of Surgery, College of Medicine University of Lagos/ Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Niger J Clin Pract. 2020 Oct;23(10):1368-1374. doi: 10.4103/njcp.njcp_125_20.
For the benefits of less postoperative pain, early recovery and discharge, and better cosmesis, laparoscopic surgery is rapidly gaining acceptance amongst surgeons as a better alternative to traditional open procedures. In January 2015, bookings for laparoscopic surgery became a more regular feature on our operation list.
We reported the indications, management outcome, and challenges in patients who had laparoscopic surgery in our institution. This is to document the trends in our surgical practice.
This is a descriptive study of 137 patients who had laparoscopic surgery for general surgical indications in our institution over a period of 5 years. Patients data as collected from the records department were evaluated for demographic characteristics, medical comorbidities, type of procedures done, and perioperative outcome. Data analysis was performed using Statistical Package for Social Sciences (SPSS).
A total of 137 Patients had laparoscopic general surgery between January 2015 and December 2019. There were 48 males and 89 females with a male-to-female ratio of 1:1.9. The mean age of the patients was 38.8 ± 3.4 years (range 16-87 years). Laparoscopic cholecystectomy (35%) and laparoscopic appendicectomy (29.9%) were the most common procedures performed. Five (3.7%) cases were converted to open surgery. Superficial surgical site infection (5.8%) following laparoscopic appendicectomy was the most common postoperative complication. There was no 30-day postoperative mortality.
Laparoscopic surgery is safe and can be applied to wide variety of general surgical conditions in developing countries. Minimal postoperative morbidity of laparoscopy is a major benefit to the patients.
鉴于腹腔镜手术具有术后疼痛轻、恢复快、出院早以及美容效果好等优点，作为传统开放手术的更佳替代方案，它在外科医生中迅速得到认可。2015年1月起，腹腔镜手术预约在我们的手术安排中变得更为常见。
我们报告了在本机构接受腹腔镜手术患者的手术指征、治疗结果及面临的挑战。旨在记录我们外科手术实践的趋势。
这是一项描述性研究，纳入了5年间在本机构因普通外科指征接受腹腔镜手术的137例患者。从病历科室收集患者数据，评估其人口统计学特征、合并疾病、手术类型及围手术期结果。使用社会科学统计软件包（SPSS）进行数据分析。
2015年1月至2019年12月期间，共有137例患者接受了腹腔镜普通外科手术。其中男性48例，女性89例，男女比例为1:1.9。患者的平均年龄为38.8±3.4岁（范围16 - 87岁）。最常进行的手术是腹腔镜胆囊切除术（35%）和腹腔镜阑尾切除术（29.9%）。5例（3.7%）转为开放手术。腹腔镜阑尾切除术后浅表手术部位感染（5.8%）是最常见的术后并发症。术后30天无死亡病例。
在发展中国家，腹腔镜手术安全且可应用于多种普通外科疾病。腹腔镜手术术后发病率低是对患者的一大益处。
