Surgical audit of a single-surgeon experience with laparoscopic cholecystectomy in northern Saskatchewan, Canada
Authors Verdolin B, Pillay Y
Received 9 March 2018
Accepted for publication 9 July 2018
Published 5 October 2018 Volume 2018:10 Pages 7—13
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 3
Editor who approved publication: Professor Garry Walsh
Bernado Verdolin,1 Yagan Pillay2
1Hospital dos Servidores do Estado do Rio de Janeiro, Rua Sacadura Cabral, Brazil; 2University of Saskatchewan College of Medicine, General Surgery, Saskatchewan, Canada
Aims: This study reviewed laparoscopic cholecystectomy in the clinical practice of a single general surgeon in northern Saskatchewan, Canada.
Methods: Data were accumulated from the electronic medical records (EMRs) software and health records (HRs) department of the Victoria Hospital. This audit searched for all laparoscopic cholecystectomies between the years 2009 and 2016 inclusive.
Results: Two hundred and ninety laparoscopic cholecystectomies were performed over 7 years. They were analyzed for various aspects such as age, with the majority of patients between 41and 65years, and gender, with the female gender in 71.8% of cases. Our complication rates in both elective and emergency procedures, along with conversion (1.37%) and reoperation (1.03%) rates, were examined. The lengths of stay in elective (1.02 days) and emergency (2.13 days) surgeries were comparable to the reported literature. We examined associated procedures performed with the laparoscopic cholecystectomy, procedure duration, converted surgeries, and reoperated patients, as well as the referral rate of patients to a quaternary care hospital for super specialist evaluation and management not available locally. Biliary leakage was diagnosed in four cases postoperatively (1.37%), showing similar trends to published literature rates varying from 0.56% to 3.5%.
Conclusion: In Prince Albert Parkland health region, even with limited resources in a small city such as Prince Albert in northern Saskatchewan and great distances between the two health care centers, it is possible to provide a high standard of surgical care for the population with results comparable to published international standards in minimally invasive gallbladder surgery.
Keywords: surgical audit, laparoscopic cholecystectomy, rural surgery, audit database
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