Association of The Laproscopic Cholecystectomy Outcomes With Duration of Hospital Stay In Rural Areas of District Sangar, Sindh, Pakistan.

Syed Moin  Islam Shah; Muhammad Sikander  Ghayas Khan; Ghulam Mustafa  Hingoro; Ruhamah  Yousaf; Bareera  Saeed; Madiha  Sikander; Malik Muhammad  Qasim; Muhammad Shazaib  Khan; Qasima  Agha

doi:10.54393/pbmj.v5i1.280

Authors

Syed Moin Islam Shah Sulaman Roshan Medical College,Tandoadam
Muhammad Sikander Ghayas Khan Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore
Ghulam Mustafa Hingoro Consultant Anaesthetist
Ruhamah Yousaf Department of Health Professional Technologies, Faculty of Allied Health Sciences, The University of Lahore
Bareera Saeed Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore
Madiha Sikander Department of Biochemistry,Faculty of Allied Health Sciences,The University of Lahore
Malik Muhammad Qasim Department of Biochemistry,Faculty of Allied Health Sciences, The University of Lahore
Muhammad Shazaib Khan Sports and Physical Education, The University of Lahore
Qasima Agha Botany Department, University of Baluchistan

DOI:

https://doi.org/10.54393/pbmj.v5i1.280

Keywords:

Laparoscopic cholecystectomy, Duration of hospital stay, Outcomes, Gall stones, operational findings

Abstract

To find out the laproscopic cholecystectomy outcomes association with duration of hospital stay in rural area of district Sanghar, Sindh, Pakistan. Methods: This longitudinal and interventional study was conducted in a private hospital of Tando Adam District Sanghar the rural area of Sindh, Pakistan from March 2013 to October 2019. Patients above 15 years of age from both genders were taken by using convenient sampling technique, having symptomatic gallstones, favorable or unfavorable anatomical conditions, acute and chronic cholecystitis. Patients with dilated common bile duct (>8 mm in diameter), jaundice, mass at porta hepatis and uncorrectable coagulopathy were excluded. SPSS-22 was used for the statistical analysis. Results: This study included 28(13.9%) males and 173(86.1%) females. Mostly participants fall between the age of 30 to 39 years 65(32.3%). 146(72.6%) participants stayed in the hospital for up to 24 hours. Non-significant association (p-value> 0.05) was found between the duration of the hospital stay and outcome of laparoscopic cholecystectomy. Conclusion: Non-significant association was observed between duration of the hospital stay and outcome of laparoscopic cholecystectomy

References

Khalid S, Iqbal Z, Bhatti AA. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Journal of Ayub Medical College Abbottabad. 2017;29(4):570-3.

https://doi.org/10.11648/j.js.s.2016040301.16

Hasukic S, Hasukic I, Omeragic S. The Laparoscopic Surgery: History, Technique, Ergonomic and Specifics in the Time of COVID-19. Int J Biomed Healthc. 2020;8(2):101-7.

https://doi.org/10.5455/ijbh.2020.8.101-107

Pinheiro RS, Waisberg DR, Lai Q, Andraus W, Nacif LS, Rocha-Santos V, et al. Laparoscopic cholecystectomy and cirrhosis: patient selection and technical considerations. Ann Laparosc Endosc Surg. 2017;2(3):35.

https://doi.org/10.21037/ales.2017.01.08

Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM, Asbun HJ, et al. Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). Journal of Hepato‐biliary‐pancreatic Sciences. 2018;25(1):73-86.

https://doi.org/10.1002/jhbp.517

contributors W. Gallstone. Wikipedia, The Free Encyclopedia: Wikipedia, The Free Encyclopedia.; 2020.

Vahed LK, Khedmat L. Frequency of symptoms associated with gallstone disease: a hospital-based cross sectional study. European journal of translational myology. 2018;28(2).

https://doi.org/10.4081/ejtm.2018.7412

Endo I, Takada T, Hwang TL, Akazawa K, Mori R, Miura F, et al. Optimal treatment strategy for acute cholecystitis based on predictive factors: Japan‐Taiwan multicenter cohort study. Journal of Hepato‐biliary‐pancreatic Sciences. 2017;24(6):346-61.

https://doi.org/10.1002/jhbp.456

Jaleel F, Rashid K, Bakhtiar N, Jawaid M. RISK FACTORS FOR GALLSTONES. The Professional Medical Journal. 2017;24(11):1675-9.

https://doi.org/10.29309/TPMJ/2017.24.11.659

Gupta O, Khan S. Incidents and complications in laparoscopic cholecystectomy: a retrospective analysis of 336 cases. Int J Contemporary Med Surg Radiol. 2019;4:1-5.

https://doi.org/10.21276/ijcmsr.2019.4.2.1

Bhandari TR, Shahi S, Bhandari R, Poudel R. Laparoscopic cholecystectomy in the elderly: an experience at a tertiary care hospital in Western Nepal. Surgery research and practice. 2017;2017.

https://doi.org/10.1155/2017/8204578

Lyu Y, Cheng Y, Wang B, Zhao S, Chen L. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: an up-to-date meta-analysis of randomized controlled trials. Surgical endoscopy. 2018;32(12):4728-41.

https://doi.org/10.1007/s00464-018-6400-0

Sharma D, Kishore KN, Gondu GR, Thumma VM, Gunturi SV, Reddy JM, et al. Predictive factors for conversion from laparoscopic to open cholecystectomy: an institutional study. International Surgery Journal. 2018;5(8):2894-8.

https://doi.org/10.18203/2349-2902.isj20183210

Hassler KR, Collins JT, Philip K, Jones MW. Laparoscopic cholecystectomy. StatPearls [Internet]. 2020.

Panwar K, Panwar A. Assessment of Postoperative Complications among Patients Undergoing Laparoscopic Cholecystectomy. Journal of Advanced Medical and Dental Sciences Research. 2018;6(3):1-3.

Chaoliang L, Lan F, Qinghua T, Peng H. Management for Hemorrhage from the Gallbladder Bed Caused by Injury to the Middle Hepatic Vein During Laparoscopic Cholecystectomy. Indian Journal of Surgery. 2019:1-5.

https://doi.org/10.1007/s12262-019-01925-0

Shamsuddin S, Baig I, Ali A, Hussain S, Shah M, Akbar B. Outcomes of laparoscopic cholecystectomy: Experience of a tertiary care center from a developing country. Pak J Surg. 2020;36(3):204-7.

Kafadar MT, Çetinkaya İ, Aday U, Başol Ö, Bilge H. Acute abdomen due to spilled gallstones: a diagnostic dilemma 10 years after laparoscopic cholecystectomy. Journal of Surgical Case Reports. 2020;2020(8):rjaa275.

https://doi.org/10.1093/jscr/rjaa275

Alexander HC, Bartlett AS, Wells CI, Hannam JA, Moore MR, Poole GH, et al. Reporting of complications after laparoscopic cholecystectomy: a systematic review. HPB. 2018;20(9):786-94.

https://doi.org/10.1016/j.hpb.2018.03.004

Al-Naser MK. Port Site Infections after laparoscopic cholecystectomy. International Journal of Medical Research & Health Sciences. 2017;6(6):132-7.

Fong ZV, Pitt HA, Strasberg SM, Loehrer AP, Sicklick JK, Talamini MA, et al. Diminished survival in patients with bile leak and ductal injury: management strategy and outcomes. Journal of the American College of Surgeons. 2018;226(4):568-76. e1.

https://doi.org/10.1016/j.jamcollsurg.2017.12.023

Xu D, Zhu X, Xu Y, Zhang L. Shortened preoperative fasting for prevention of complications associated with laparoscopic cholecystectomy: a meta-analysis. Journal of International Medical Research. 2017;45(1):22-37.

https://doi.org/10.1177/0300060516676411

Sajid MT, Hussain SM, Bashir RA, Mustafa QA, Ahmed M, Halim A, et al. Laparoscopic cholecystectomy: experience at a tertiary level hospital. Journal of Ayub Medical College Abbottabad. 2014;26(2):225-9.

Shukla A, Seth S, Ranjan A. A comparative study between laparoscopic and open cholecystectomy in cases of cholecystitis with cholelithiasis: one year experience in tertiary care center. International Surgery Journal. 2017;4(3):903-7.

https://doi.org/10.18203/2349-2902.isj20170446

Taki-Eldin A, Badawy A-E. Outcome of laparoscopic cholecystectomy in patients with gallstone disease at a secondary level care hospital. ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2018;31(1).

https://doi.org/10.1590/0102-672020180001e1347

Cirocchi R, Kwan SH, Popivanov G, Ruscelli P, Lancia M, Gioia S, et al. Routine drain or no drain after laparoscopic cholecystectomy for acute cholecystitis. The Surgeon. 2020.

https://doi.org/10.1016/j.surge.2020.04.011

Vafaei F, Kamely A, Nouri G, Teshnizi SH, Shokri A. Effect of utilizing a drain on shoulder pain in laparoscopic cholecystectomy. A randomized clinical trial. Indian Journal of Surgery. 2020:1-6.

https://doi.org/10.1007/s12262-020-02474-7

Al Masri S, Shaib Y, Edelbi M, Tamim H, Jamali F, Batley N, et al. Predicting conversion from laparoscopic to open cholecystectomy: a single institution retrospective study. World journal of surgery. 2018;42(8):2373-82.

https://doi.org/10.1007/s00268-018-4513-1