Cawich, Shamir O.; Mathew, Ajit T.; Mohanty, Sanjib K.; Huizinga, William K. J.
Author Affiliation, Ana.
Laparoscopic Cholecystectomy: A Retrospective Audit from The Cayman Islands.
The Internet Journal of Surgery
Date of Publication
Laparoscopic cholecystectomy (LC) brings numerous advantages over open cholecystectomy at the expense of higher complication rates. There have been no prior reports on the outcomes of LC from the Cayman Islands. A three year retrospective audit was performed at the Cayman Islands Hospital in Grand Cayman. Of 110 cholecystectomies, 99 were attempts at LC in 83 females and 16 males. Operations were performed electively in 85% of cases and emergently in 15%. Same day discharge was possible in 19.6% of cases. There were 2 conversions (2.02%) and LC was successfully completed in the remaining 97 patients with an average operating time of 93.74 +/-21.72 minutes (mean +/-SD). Intra-operative cholangiography was performed in 12 elective cases and added 32.09 minutes of operating time. Two patients had laparoscopic bile duct exploration and stone extraction that added 37.67 minutes of operating time. Eight patients experienced morbidity that included bleeding (4), biliary peritonitis (2), visceral injury (1) and pneumonia (1). There was no bile duct injury, wound infection or mortality in this audit. LC is being performed in this setting with acceptable morbidity, mortality and conversion rates. A concerted effort to increase the performance of ambulatory LC may increase cost effectiveness in this setting.....