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Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Received: 21 March 2024     Accepted: 8 April 2024     Published: 23 July 2024
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Abstract

Background: Emergency cholecystectomy is the standard treatment for acute cholecystitis worldwide. However, in Ethiopia, it's only performed in a limited number of healthcare facilities, despite its recognition as the preferred treatment by many physicians. To date, there is no study examining the prevalence and outcomes of emergency cholecystectomy in Ethiopia. In our setting, this practice is relatively new, and its outcomes remain unstudied. Purpose: To assess the trends and outcome of emergency cholecystectomy at Yekatit 12 hospital medical college. Method: We employed a longitudinal study design, encompassing all patients who underwent emergency cholecystectomy throughout the study period. Data entry and analysis were conducted using SPSS statistical software version 25. Qualitative variables were depicted in frequencies and percentages, while continuous variables were summarized with mean and standard deviation (SD). Binary logistic regression was applied to evaluate the impact of independent variables on the outcome variable. A significance level of p < 0.05 was taken for statistical significance. Result: Between January 2022 and December 2023, 68 emergency cholecystectomies were performed. Females comprised 60.3% of the cases, with a mean age of 42.43 ± 14.03 years. Surgery for 44.1% of patients occurred between days 4 and 7 after symptom onset, while five patients underwent surgery after 10 days. The mean duration of surgery was 63.9 ± 17.14 minutes. Hospital stays ranged from 2 to 12 days, with a mean of 4.4 ± 2.47 days. Serum creatinine levels exceeding 1 mg/dl (p=0.004) were significantly linked to poor outcomes.

Published in Clinical Medicine Research (Volume 13, Issue 4)
DOI 10.11648/j.cmr.20241304.11
Page(s) 39-44
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Emergency Cholecystectomy, Outcome, Y12HMC

References
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[3] Brunicardi, F., et al., Schwartz's principles of surgery, 10e. 2014: McGraw-hill.
[4] Järvinen, H.. and J. Hästbacka, Early cholecystectomy for acute cholecystitis: a prospective randomized study. Annals of surgery, 1980. 191(4): p. 501-505.
[5] Al-Khuwaitir, S. A., Early Versus Delayed Surgery for Acute Cholecystitis. Annals of Saudi Medicine, 1985. 5(2): p. 63-66.
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[8] Sakowska, M. M. and S. Connor, Index cholecystectomy for management of acute gallstone disease: a change of practice at a major New Zealand metropolitan centre. HPB, 2011. 13(10): p. 687-691.
[9] Escartín, A., et al., Failure to perform index cholecystectomy during acute cholecystitis results in significant morbidity for patients who present with recurrence. HPB, 2019. 21(7): p. 876-882.
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[16] Gurusamy, K. S., et al., Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis. Cochrane Database of Systematic Reviews, 2013(6).
[17] Csikesz, N. G., J. F. Tseng, and S. A. Shah, Trends in surgical management for acute cholecystitis. Surgery, 2008. 144(2): p. 283-289.
[18] Abebe, H. and M. Bekele, Trends and Outcomes of Cholecystectomy; a comparative study of open and laparoscopic cholecystectomy, a Three Year Experience in a Teaching Hospital, Addis Ababa. Ethiopian Medical Journal, 2021. 59(01).
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  • APA Style

    Kebede, T., Desta, G., Kibret, A., Amtataw, W. (2024). Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Clinical Medicine Research, 13(4), 39-44. https://doi.org/10.11648/j.cmr.20241304.11

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    ACS Style

    Kebede, T.; Desta, G.; Kibret, A.; Amtataw, W. Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Clin. Med. Res. 2024, 13(4), 39-44. doi: 10.11648/j.cmr.20241304.11

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    AMA Style

    Kebede T, Desta G, Kibret A, Amtataw W. Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Clin Med Res. 2024;13(4):39-44. doi: 10.11648/j.cmr.20241304.11

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  • @article{10.11648/j.cmr.20241304.11,
      author = {Tolera Kebede and Getachew Desta and Alemu Kibret and Wondwossen Amtataw},
      title = {Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
    },
      journal = {Clinical Medicine Research},
      volume = {13},
      number = {4},
      pages = {39-44},
      doi = {10.11648/j.cmr.20241304.11},
      url = {https://doi.org/10.11648/j.cmr.20241304.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20241304.11},
      abstract = {Background: Emergency cholecystectomy is the standard treatment for acute cholecystitis worldwide. However, in Ethiopia, it's only performed in a limited number of healthcare facilities, despite its recognition as the preferred treatment by many physicians. To date, there is no study examining the prevalence and outcomes of emergency cholecystectomy in Ethiopia. In our setting, this practice is relatively new, and its outcomes remain unstudied. Purpose: To assess the trends and outcome of emergency cholecystectomy at Yekatit 12 hospital medical college. Method: We employed a longitudinal study design, encompassing all patients who underwent emergency cholecystectomy throughout the study period. Data entry and analysis were conducted using SPSS statistical software version 25. Qualitative variables were depicted in frequencies and percentages, while continuous variables were summarized with mean and standard deviation (SD). Binary logistic regression was applied to evaluate the impact of independent variables on the outcome variable. A significance level of p Result: Between January 2022 and December 2023, 68 emergency cholecystectomies were performed. Females comprised 60.3% of the cases, with a mean age of 42.43 ± 14.03 years. Surgery for 44.1% of patients occurred between days 4 and 7 after symptom onset, while five patients underwent surgery after 10 days. The mean duration of surgery was 63.9 ± 17.14 minutes. Hospital stays ranged from 2 to 12 days, with a mean of 4.4 ± 2.47 days. Serum creatinine levels exceeding 1 mg/dl (p=0.004) were significantly linked to poor outcomes.},
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Outcome of Emergency Cholecystectomy at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
    
    AU  - Tolera Kebede
    AU  - Getachew Desta
    AU  - Alemu Kibret
    AU  - Wondwossen Amtataw
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    DO  - 10.11648/j.cmr.20241304.11
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    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
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    EP  - 44
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20241304.11
    AB  - Background: Emergency cholecystectomy is the standard treatment for acute cholecystitis worldwide. However, in Ethiopia, it's only performed in a limited number of healthcare facilities, despite its recognition as the preferred treatment by many physicians. To date, there is no study examining the prevalence and outcomes of emergency cholecystectomy in Ethiopia. In our setting, this practice is relatively new, and its outcomes remain unstudied. Purpose: To assess the trends and outcome of emergency cholecystectomy at Yekatit 12 hospital medical college. Method: We employed a longitudinal study design, encompassing all patients who underwent emergency cholecystectomy throughout the study period. Data entry and analysis were conducted using SPSS statistical software version 25. Qualitative variables were depicted in frequencies and percentages, while continuous variables were summarized with mean and standard deviation (SD). Binary logistic regression was applied to evaluate the impact of independent variables on the outcome variable. A significance level of p Result: Between January 2022 and December 2023, 68 emergency cholecystectomies were performed. Females comprised 60.3% of the cases, with a mean age of 42.43 ± 14.03 years. Surgery for 44.1% of patients occurred between days 4 and 7 after symptom onset, while five patients underwent surgery after 10 days. The mean duration of surgery was 63.9 ± 17.14 minutes. Hospital stays ranged from 2 to 12 days, with a mean of 4.4 ± 2.47 days. Serum creatinine levels exceeding 1 mg/dl (p=0.004) were significantly linked to poor outcomes.
    VL  - 13
    IS  - 4
    ER  - 

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