Laparascopic cholecystectomy at wazir akber khan hospital97 2003,
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Laparoscopic Cholecystectomy at WAKH Presentation for 4th congress of World association of Laparascopic Surgeons (WALS) 8th February 2014
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Laparascopic cholecystectomy at wazir akber khan hospital97 2003,
- 1. Laparascopic Cholecystectomy at Wazir Akber Khan Hospital, Report from a Single Center Dr.R.Satari M.D Specialist of General Surgery Wazir Akber Khan Hospital, Kabul Afghanistan
- 2. 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
- 3. 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
- 9. 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)
- 10. 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
- 11. 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.
- 12. 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
- 13. Results Gender of patients (n=101) Sex No of patients % Male 3 2.9% Female 98 98.1%
- 14. 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
- 15. 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
- 16. 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
- 17. 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.