Feasibility of Day-Case laparoscopic cholecystectomy: A narrative review

I. Garzali, M. Alhuniti, Ramadan Hassanat, Yousef Alsardia, Ali Aloun
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引用次数: 0

Abstract

Gallstone disease was considered a rare disease in West African subregion, however with increasing urbanisation and lifestyle change, the incidence of the disease is rising. Laparoscopic cholecystectomy is the best treatment for gall stone disease. Initially, laparoscopic cholecystectomy required inpatient care after surgery, but for the past 30 years, there is a shift toward performing the procedure as a daycase. Day-case laparoscopic cholecystectomy was first reported in early 1990s, but in most countries of West Africa, cholecystectomy is still an inpatient procedure and this has been an additional strain to the health-care community as the number of personnel needed for postoperative care can be directed toward the care of other patients if the surgery is performed as a daycase. It has also been reported that increased use of day surgery would reduce waiting times and reduce last minute cancellations by the hospital. Although laparoscopic cholecystectomy was added to the basket of day-case procedures in the early 1990s, initial progress was slow because the procedure was not widely accepted as suitable for day case surgery. In sub-Saharan Africa, only Sudan, Nigeria, Tanzania, and South Africa have reported attempts at day-case laparoscopic cholecystectomy with good outcome.
一日腹腔镜胆囊切除术的可行性:一个叙述性的回顾
胆结石病在西非次区域被认为是一种罕见疾病,但随着城市化和生活方式的改变,该疾病的发病率正在上升。腹腔镜胆囊切除术是治疗胆囊结石的最佳方法。最初,腹腔镜胆囊切除术需要术后住院治疗,但在过去的30年里,腹腔镜胆囊摘除术逐渐转向了日常手术。20世纪90年代初首次报道了日间病例腹腔镜胆囊切除术,但在西非的大多数国家,胆囊切除术仍然是一种住院手术,这对医疗保健界来说是一种额外的压力,因为如果将手术作为日间病例进行,术后护理所需的人员数量可能会直接用于其他患者的护理。据报道,增加日间手术的使用将减少等待时间,并减少医院在最后一刻取消手术的次数。尽管腹腔镜胆囊切除术在20世纪90年代初被添加到日常手术中,但最初的进展缓慢,因为该手术不被广泛接受为适合日常手术。在撒哈拉以南非洲,只有苏丹、尼日利亚、坦桑尼亚和南非报告了尝试日间腹腔镜胆囊切除术的良好结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
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