尼日利亚胆囊疾病的腹腔镜治疗:系统回顾。

Obinna Joseph Ugwu, Ferdinand Ibu Ogbaji, Tobechukwu Ojiugo Tony-Okeke, Bashir Omeiza Ismaila, Onome Chidinma Nnorom, Joy Hyelni Zoakah, Sarah Kwaghdoo Aule, Suleiman Mshelia
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引用次数: 0

摘要

背景:在全球范围内,胆囊疾病的发病率和死亡率呈上升趋势。治疗无症状胆囊疾病的金标准是腹腔镜胆囊切除术。尽管腹腔镜胆囊切除术与传统的开腹胆囊切除术相比具有明显优势,但在尼日利亚等中低收入国家,腹腔镜胆囊切除术仍处于起步阶段。本系统性综述旨在评估尼日利亚采用腹腔镜胆囊切除术治疗胆囊疾病的程度:综述以 PRISMA 模型为指导。我们检索了 MEDLINE、Embase、CINAHL、Scopus 和 Global health 数据库。所有检索均在 2023 年 8 月进行。纳入了过去 10 年中所有报道尼日利亚腹腔镜胆囊切除术的研究设计。三位作者使用数据提取表进行数据提取,两位作者独立评估数据的准确性和完整性。乔安娜-布里格斯研究所(Joanna Briggs Institute)的关键评估工具用于评估数据质量。本综述共纳入22篇文章,1569名患者:女性患者占 69.5%,男性占 30.5%。12项研究(54.5%)来自该国西南部,东南部和中北部各3项(13.6%),南南部2项(9.1%),东北部和西北部各1项(4.5%)。研究设计大多为横断面,样本量从 1 到 400 不等。报告的最高和最低腹腔镜胆囊切除术数量分别为 300 例和 1 例。大多数(95.2%)腹腔镜胆囊切除术都是针对结石性胆囊炎,所报告的方法为 4 孔和 3 孔技术。随访时间从3周到2年不等,报告的并发症有54例(3.4%):结论:在尼日利亚,腹腔镜胆囊切除术相对安全,并发症极少。结论:在尼日利亚,腹腔镜胆囊切除术相对安全,并发症极少,其需求和使用率正在上升,尽管由于其成本相对较高而上升缓慢。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laparoscopic Management of Gall Bladder Diseases in Nigeria: A Systematic Review.

Background: Globally, the incidence and mortality from gallbladder diseases is on the rise. The gold standard for the management of symptomatic gallbladder disease is laparoscopic cholecystectomy. The practice of laparoscopic cholecystectomy is at a nascent stage in Low and middle-income countries like Nigeria despite its obvious advantages over traditional open cholecystectomy. This systematic review aims to assess the extent to which laparoscopic cholecystectomy is performed for the management of gallbladder diseases in Nigeria.

Methodology: The review was guided by the PRISMA model. We searched MEDLINE, Embase, CINAHL, Scopus, and Global health databases. All searches were conducted in August 2023. All study designs reporting laparoscopic cholecystectomy in Nigeria, in the past 10 years were included. Three authors conducted the data extraction using data extraction tables and two authors independently assessed the data for accuracy and completeness. The Joanna Briggs Institute critical appraisal tool was used to assess the data quality. Twenty-two articles with 1569 patients were included in this review.

Results: Females accounted for 69.5% of the patients and 30.5% were males. Twelve (54.5%) of the studies were from the Southwest of the country, 3 (13.6%) each from the South East and North Central regions, 2 (9.1%) South-South, and 1 (4.5%) each from the North East and North West. Study designs were mostly cross-sectional with sample sizes from 1 to 400. The highest and lowest number of laparoscopic cholecystectomies reported were 300 and 1 respectively. The majority (95.2%) of laparoscopic cholecystectomies were on account of calculous cholecystitis and the methods reported were the 4-port and 3-port techniques. The follow-up period ranged from 3 weeks to 2 years with 54 (3.4%) complications reported.

Conclusions: Laparoscopic cholecystectomy in Nigeria is relatively safe with minimal complications. Its demand and uptake are on the rise, though slowly owing to its relatively high cost.

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