Evidence map›Paper›PMID 42206094›Full record

ArticleSurgery open science2026

Conventional versus enhanced recovery laparoscopic cholecystectomy in Rwanda: A comparative analysis of costs and clinical outcomes.

King Kayondo, Martin Nyundo, Miguel Gasakure, Fidèle Byiringiro, Christian Mukwesi, Regis Hitimana, Julien Gashegu, Annie Robert

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PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery open science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

King KayondoDepartment of Surgery, University of Rwanda, Kigali, Rwanda.
Martin NyundoDepartment of Surgery, University Teaching Hospital of Kigali (CHUK), Kigali, Rwanda.
Miguel GasakureDepartment of Surgery, University Teaching Hospital of Kigali (CHUK), Kigali, Rwanda.
Fidèle ByiringiroDepartment of Surgery, Rwanda Military Teaching Hospital (RMTH), Kigali, Rwanda.
Christian MukwesiDepartment of Anesthesiology, Rwanda Military Teaching Hospital (RMTH), Kigali, Rwanda.
Regis HitimanaRwanda Social Security Board, Rwanda.
Julien GasheguDepartment of Human Anatomy, College of Medicine and Health Sciences, University of Rwanda, Rwanda.
Annie RobertEpidemiology & Biostatistics Research Unit, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols improve outcomes in high-income settings, but evidence from low- and middle-income countries (LMICs) is limited. This study compared clinical outcomes and direct healthcare costs between conventional laparoscopic cholecystectomy (CLC) and ERAS-based laparoscopic cholecystectomy (ERAS-LC) in Rwanda. Methods: A prospective before-after cohort study was conducted between January and December 2022 at two tertiary hospitals in Rwanda. A total of 124 adult patients undergoing elective laparoscopic cholecystectomy were included: 70 managed with conventional care and 54 within an ERAS pathway. Clinical outcomes (length of stay, opioid use, time to oral intake, complications) and direct hospital costs were compared. Statistical analyses included chi-square, Results: Groups were similar at baseline. All ERAS patients resumed oral intake on day one versus 87.1% in CLC ( Conclusion: ERAS for laparoscopic cholecystectomy in a resource-limited setting is feasible, safe, and improves recovery while optimizing inpatient resource use. Despite higher medication costs, ERAS reduces LOS, opioid use, and nursing costs, supporting its adoption in LMIC surgical care.

Indexed as

Enhanced recovery after surgeryHealth economicsLaparoscopic cholecystectomyLow- and middle-income countriesSurgical outcomes

Identifiers

PMID42206094
PMCPMC13202595

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.