Laparoscopic cholecystectomy: analysis of 619 consecutive cases in a Caribbean setting.
BACKGROUND
Laparoscopic cholecystectomy has become the gold standard in the definitive treatment of symptomatic gall bladder disease. It boasts superior morbidity and mortality and lower complication rates than open approaches.


OBJECTIVE
This study outlines the experiences associated with 619 laparoscopic cholecystectomies performed in Trinidad.


METHODS
The records of 619 consecutive patients who underwent the procedure were reviewed. All cases were either performed or supervised by the senior author. The population comprised 511 females and 108 males. The average age was 48.5 years.


RESULTS
The commonest indications for surgery were symptomatic cholelithiasis (380 cases) and acute cholecystitis (111 cases). The mean operating time was 34 minutes. The mean length of stay on the ward was 17.45 hours. Mortality was zero. Only 4 cases were converted to open procedures. The commonest postoperative complication was wound-infection.


CONCLUSIONS
In summary, this study demonstrates that laparoscopic cholecystectomy can be performed safely in a Third World setting with results comparable to those internationally.
Dan
Dilip V
DV
Department of General Surgery, San Fernando General Hospital, Trinidad. dilipdan@hotmail.com
Harnanan
Dave
D
Maharaj
Ravi
R
Seetahal
Shiva
S
Singh
Yardesh
Y
Naraynsingh
Vijay
V
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017081:Cholecystectomy, Laparoscopic; D041881:Cholecystitis, Acute / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006295:Health Resources; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain; D012189:Retrospective Studies; D013997:Time Factors; D014300:Trinidad and Tobago; D055815:Young Adult