30-day outcomes in 1 000 consecutive laparoscopic cholecystectomies undertaken in four Cape metropole public hospitals.
S Afr J Surg
; 62(2): 69, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38838125
ABSTRACT
BACKGROUND:
Laparoscopic cholecystectomy (LC) is the standard of care for symptomatic gallstone disease. The procedure has a steep learning curve and may result in significant postoperative morbidity and mortality. LC carries a morbidity of 1.6-5.3%, a mortality of 0.05-0.14% and readmission rates of 3.3% (0-11.7%). We aimed to evaluate the 30-day outcomes of LC across four metropole hospitals in the Western Cape (WC) including mortality, length of stay, readmissions and complications according to the Clavien-Dindo classification system.METHODS:
A retrospective review of a prospective database was performed. Data were collected between September 2019 and July 2022. Relative clinical, operative findings and postoperative outcomes were analysed.RESULTS:
There were 1 000 consecutive LCs included in this study. The mean postoperative length of stay was 1.92 days. Forty surgical complications were noted of which the most common were a bile leak (n = 14) and intra-abdominal collections (n = 11). Seven patients with bile leaks required reintervention. Four (0.4%) bile duct injuries (BDI) were reported in our series. Twenty-five percent of postoperative complications were graded as Clavien-Dindo IIIa and 28% were graded as Clavien-Dindo IIIb. The 30-day readmission rate was 3.8% (n = 38). Thirty-five patients were readmitted with surgical complications. There were three reported deaths (0.3%).CONCLUSION:
Laparoscopic cholecystectomy is considered the standard of treatment for gallstone disease but a small percentage may have serious complications. The outcomes reported in this series are similar to that of other reported studies.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Readmission
/
Postoperative Complications
/
Gallstones
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Cholecystectomy, Laparoscopic
/
Hospitals, Public
/
Length of Stay
Limits:
Adult
/
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Country/Region as subject:
Africa
Language:
En
Journal:
S Afr J Surg
/
S. Afr. j. surg. (Online)
/
South African journal of surgery (Online)
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: