ReviewJournal of the West African College of Surgeons
Predictors of Difficult Laparoscopic Cholecystectomy in Adults in a Nigerian Tertiary Hospital.
Review in Journal of the West African College of Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background: Laparoscopic cholecystectomy (LC) is the recommended treatment for benign gall bladder diseases. Difficult LC (DLC) is a recognised cause of prolonged surgery, the need for conversion to open procedure, and postoperative complications. The identification of the predictors of DLC preoperatively may contribute to improved preoperative planning and surgical outcome. Aims and Objectives: To determine the rate of DLC and predictors of DLC in adult patients at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Materials and Methods: We retrospectively analysed data from 129 case notes of patients who had LC over a 7-year period using STATA 18. Patients were grouped into normal LC and DLC. Bivariate analyses were conducted using appropriate statistical tests. Relevant factors were entered into a multivariable logistic regression model to identify independent predictors. Significance was set at Results: Mean age was 45.8 ± 14.6 with a 5.8:1 female to male ratio. Nearly a quarter of the patients ( Conclusion: The low rate of postoperative complications and conversion to open procedure despite the significant DLC rate indicates that with improved expertise/skills of the surgeon, safe LC is feasible and could become the main approach for cholecystectomy in Nigeria.
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