Clinical Characteristics and Outcomes among Patients Undergoing Laparoscopic Cholecystectomy at European Gaza Hospital: A Retrospective Cross-sectional Study

Abstract

Objective

To spot light on the clinical characteristics and outcomes of patients undergoing laparoscopic cholecystectomy at European Gaza Hospital.

Methods

A descriptive, correlational retrospective design was employed for this study. Since this study aims to assess clinical characteristics and surgical outcomes among patients undergoing laparoscopic cholecystectomy at a single point of time, this is the most appropriate design. This enables the researcher to measure the effect and the outcome at a single point of time. This study design gives reliable results with short time and less effort. The study was conducted at the surgery department at the European Gaza Hospital. Patients were recruited retrospectively during the period from January to October 2022.

Results

All cases included in the current study were electively managed and the preoperative hospital stay was one day among all patients, which is the day prior to the surgery. The duration after operation ranged from two to four days with most patients being discharged during 48 hours after the operation. There were 17 patients had a history of previous hospitalization (24.3%). Most of patients had ASA score of 1 or 2. Most of patients underwent the surgery due to complicated gallbladder stone and chronic cholecystitis. The mean time of surgery was 95 + 20 minutes with median duration of 90 minutes. There were 22 patients had a history of jaundice (31.4%). None of the patients received blood transfusion following the surgery. All patients received preoperative antibiotic prophylaxis. None of the patients were admitted to the ICU following the surgery and none of the patients’ surgeries was converted to open.

Conclusion

The current study showed the retrospective analysis of 70 laparoscopic cholecystectomy cases at European Gaza Hospital. Study results showed that all patients were electively surgically managed with laparoscopic approach. Patients had no complications, short hospitalization following the surgery and good surgical outcome at two weeks follow up. Most of study participants were females and from middle age group. None of participants were admitted to ICU or received blood after the surgery. All of patients had preoperative antibiotic prophylaxis. Good outcomes noticed in the current study is owing to the safe approach during the surgery and reflects good surgeons’ experience.