Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective study
Background: Mini laparotomy cholecystectomy (MLC) is an alternative surgical procedure in conditions where laparoscopic cholecystectomy (LC) is not feasible. MLC is a simpler and easier technique compared to LC. MLC involves smaller skin incision, low morbidity rate, and early return to oral diet. M...
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id-ugm-repo.2787942023-10-13T06:15:42Z https://repository.ugm.ac.id/278794/ Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective study Handaya, Adeodatus Yahya Andrew, Joshua Hanif, Ahmad Shafa Tjendra, Kevin Radinal Aditya, Azriel Farrel Kresna Clinical Sciences Surgery Background: Mini laparotomy cholecystectomy (MLC) is an alternative surgical procedure in conditions where laparoscopic cholecystectomy (LC) is not feasible. MLC is a simpler and easier technique compared to LC. MLC involves smaller skin incision, low morbidity rate, and early return to oral diet. MLC has the potential to be the preferred surgical technique in developing countries due to its low cost and availability. Method: A cohort retrospective study was performed on 44 patients who underwent mini laparotomy cholecystectomy due to ineligibility for LC. Patients were documented for successful mini laparotomy or conversion to laparotomy cholecystectomy. There are pre-operative aspects recorded and analyzed to formulate predictor factors for conversion surgery, as well as intra-operative and post-operative aspects. Patients also filled evaluation questionnaire based on Likert Scale about their satisfaction towards result of MLC. Result: MLC is performed in 31 (70.5%) patients while 13 (29.5%) patients underwent conversion to open cholecystectomy. There were no complications nor mortalities observed during and after the surgery. Greater BMI, higher leucocyte count, higher bilirubin level, increasing severity of adhesion, and chronic cholecystitis were found to be statistically significant (p < 0.05) in the conversion surgery group. MLC also resulted in shorter post-operative hospitalization compared to conversion surgery. Patients showed great satisfaction towards the cosmetic aspect and recovery period after MLC procedure. Conclusion: MLC is an effective surgery procedure for cholelithiasis and can be safely performed in patients with complication such as cholecystitis and gallbladder adhesion although these conditions increase the risk of conversion surgery. BioMed Central Ltd 2022-09-19 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/278794/1/Handaya_KKMK.pdf Handaya, Adeodatus Yahya and Andrew, Joshua and Hanif, Ahmad Shafa and Tjendra, Kevin Radinal and Aditya, Azriel Farrel Kresna (2022) Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective study. BMC Surgery, 22 (344). pp. 1-7. ISSN 14712482 https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-022-01792-9 https://doi.org/10.1186/s12893-022-01792-9 |
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Clinical Sciences Surgery Handaya, Adeodatus Yahya Andrew, Joshua Hanif, Ahmad Shafa Tjendra, Kevin Radinal Aditya, Azriel Farrel Kresna Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective study |
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Background: Mini laparotomy cholecystectomy (MLC) is an alternative surgical procedure in conditions where laparoscopic cholecystectomy (LC) is not feasible. MLC is a simpler and easier technique compared to LC. MLC involves smaller skin incision, low morbidity rate, and early return to oral diet. MLC has the potential to be the preferred surgical technique in developing countries due to its low cost and availability. Method: A cohort retrospective study was performed on 44 patients who underwent mini laparotomy cholecystectomy due to ineligibility for LC. Patients were documented for successful mini laparotomy or conversion to laparotomy cholecystectomy. There are pre-operative aspects recorded and analyzed to formulate predictor factors for conversion surgery, as well as intra-operative and post-operative aspects. Patients also filled evaluation questionnaire based on Likert Scale about their satisfaction towards result of MLC. Result: MLC is performed in 31 (70.5%) patients while 13 (29.5%) patients underwent conversion to open cholecystectomy. There were no complications nor mortalities observed during and after the surgery. Greater BMI, higher leucocyte count, higher bilirubin level, increasing severity of adhesion, and chronic cholecystitis were found to be statistically significant (p < 0.05) in the conversion surgery group. MLC also resulted in shorter post-operative hospitalization compared to conversion surgery. Patients showed great satisfaction towards the cosmetic aspect and recovery period after MLC procedure. Conclusion: MLC is an effective surgery procedure for cholelithiasis and can be safely performed in patients with complication such as cholecystitis and gallbladder adhesion although these conditions increase the risk of conversion surgery. |
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Article PeerReviewed |
author |
Handaya, Adeodatus Yahya Andrew, Joshua Hanif, Ahmad Shafa Tjendra, Kevin Radinal Aditya, Azriel Farrel Kresna |
author_facet |
Handaya, Adeodatus Yahya Andrew, Joshua Hanif, Ahmad Shafa Tjendra, Kevin Radinal Aditya, Azriel Farrel Kresna |
author_sort |
Handaya, Adeodatus Yahya |
title |
Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
title_short |
Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
title_full |
Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
title_fullStr |
Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
title_full_unstemmed |
Effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
title_sort |
effectiveness and predictors of conversion in mini‑laparotomy cholecystectomy in developing country: a cohort retrospective
study |
publisher |
BioMed Central Ltd |
publishDate |
2022 |
url |
https://repository.ugm.ac.id/278794/1/Handaya_KKMK.pdf https://repository.ugm.ac.id/278794/ https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-022-01792-9 https://doi.org/10.1186/s12893-022-01792-9 |
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