laparascopic cholecystectomy at wazir akber khan hospital97 2003,
DESCRIPTION
Laparoscopic Cholecystectomy at WAKH Presentation for 4th congress of World association of Laparascopic Surgeons (WALS) 8th February 2014TRANSCRIPT
Laparascopic Cholecystectomy at Wazir Akber Khan Hospital,
Report from a Single Center
Dr.R.Satari M.DSpecialist of General Surgery
Wazir Akber Khan Hospital, Kabul Afghanistan
Background/Aims
• Minimal Invasive Surgery(Last three decades)• Laparascopic Surgery (Recent years)• Laparascopic Cholecystectomy (LC) first
performed in 1985• Introduction of LC into general practice in
1990 it has rapidly become the dominant procedure for GB Surgery
Background/Aims Con…
• Recent three decades, Afghanistan has faced to internal wars and stranger invasions
• Mojaheden regimen, the Taliban and recently bombing and suicide attacks have made the country unsafe and unstable
Background/Aims Con…
• We couldn’t follow the pace of development in the world of medical advances influence of wars low economic loss of relationships with foreign countries
• Our relationships with foreign countries become more and better, people get familiar with new technology (2001)
Background/Aims Con…
• Before 2001, there was no any expert surgeon in Laparascopy
• After that, Laparascopy was introduced in few centers
• Wazir Akber Khan Hospital was the first governmental hospital in 2010 that could proceed to the Laparascopy
Background/Aims Con…
• Laparoscopic cholecystectomy is a recent entry in the treatment of gall bladder disease in Afghanistan mainly in hospitals of the capital city, Kabul, and is slowly gaining acceptance
• Our aim for this study was to review and evaluate our experience of LC at Wazir Akber Khan Hospital in, Afghanistan.
Material and Methods
• Retrospective study• Over one 31 months period ( May 2010 to
November 2013)• 101 patients underwent Laparascopic
Cholecystectomy• All the patients carrying lithiasis symptomatic
profited from this new technique in the general surgery department of WAKH, Kabul, Afghanistan
Results
Gender of patients (n=101)
Sex No of patients %
Male 3 2.9%
Female 98 98.1%
Results con…
Age of patients (n=101)
Age No of PATIENTS %
˂ 20 Years 1 0.9
21-40 years 75 75.2
41-60 years 22 21.7
˃ 60 years 3 2.8
Results con…Complications ( n=101)
Complication No of cases %
Billiary leak 0 0
Bowel injury 0 0
Port site infection 2 1.9
Vascular injury 0 0
Conversion to open surgery
2 1.9
CBD injury 0 0
Mortality 0 0
Results con…
Duration of operation act (Minutes)
Max Min Average
110 48 79
Average of hospital stay (Day)
Max Min Average
4.4 1 2.2
Conclusion
Laparoscopic cholecystectomy is a safe surgical procedure with better outcomes and favorable results for patients. Proper preoperative work up, knowledge of possible complications, and adequate training make this operation a safe procedure with satisfactory results and less complications in a developing and war-torn country like Afghanistan.