Surgical approach to gallbladder disease in rural Guatemala

Jonathan B. Imran, Annie Ochoa-Hernandez, Juan Herrejon, Tarik D. Madni, Audra T. Clark, Sergio Huerta

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. Methods We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period. Results Patient demographics were similar in the LC and OC groups. Of the 63 patients who had elective surgery, 43 (68%) underwent OC. Conversion rate, hospital length of stay, and readmission rate were 4%, 4.8 days, and 5%, respectively. Complications were similar between groups. Conclusions Despite the low number of LCs, their complications were not different from that of OCs. During the study period, a large number of cholecystectomies continued to be open, even in the elective setting.

Original languageEnglish (US)
Pages (from-to)329-333
Number of pages5
JournalJournal of Surgical Research
Volume218
DOIs
StatePublished - Oct 1 2017

Fingerprint

Guatemala
Gallbladder Diseases
Cholecystectomy
Laparoscopic Cholecystectomy
Length of Stay
Patient Readmission
Rural Hospitals
Referral and Consultation
Demography

Keywords

  • Cholecystectomy
  • Guatemala
  • Laparoscopic
  • Open

ASJC Scopus subject areas

  • Surgery

Cite this

Imran, J. B., Ochoa-Hernandez, A., Herrejon, J., Madni, T. D., Clark, A. T., & Huerta, S. (2017). Surgical approach to gallbladder disease in rural Guatemala. Journal of Surgical Research, 218, 329-333. https://doi.org/10.1016/j.jss.2017.06.064

Surgical approach to gallbladder disease in rural Guatemala. / Imran, Jonathan B.; Ochoa-Hernandez, Annie; Herrejon, Juan; Madni, Tarik D.; Clark, Audra T.; Huerta, Sergio.

In: Journal of Surgical Research, Vol. 218, 01.10.2017, p. 329-333.

Research output: Contribution to journalArticle

Imran, JB, Ochoa-Hernandez, A, Herrejon, J, Madni, TD, Clark, AT & Huerta, S 2017, 'Surgical approach to gallbladder disease in rural Guatemala', Journal of Surgical Research, vol. 218, pp. 329-333. https://doi.org/10.1016/j.jss.2017.06.064
Imran, Jonathan B. ; Ochoa-Hernandez, Annie ; Herrejon, Juan ; Madni, Tarik D. ; Clark, Audra T. ; Huerta, Sergio. / Surgical approach to gallbladder disease in rural Guatemala. In: Journal of Surgical Research. 2017 ; Vol. 218. pp. 329-333.
@article{6563978c3c4449ccb006821b515697c0,
title = "Surgical approach to gallbladder disease in rural Guatemala",
abstract = "Background In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. Methods We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period. Results Patient demographics were similar in the LC and OC groups. Of the 63 patients who had elective surgery, 43 (68{\%}) underwent OC. Conversion rate, hospital length of stay, and readmission rate were 4{\%}, 4.8 days, and 5{\%}, respectively. Complications were similar between groups. Conclusions Despite the low number of LCs, their complications were not different from that of OCs. During the study period, a large number of cholecystectomies continued to be open, even in the elective setting.",
keywords = "Cholecystectomy, Guatemala, Laparoscopic, Open",
author = "Imran, {Jonathan B.} and Annie Ochoa-Hernandez and Juan Herrejon and Madni, {Tarik D.} and Clark, {Audra T.} and Sergio Huerta",
year = "2017",
month = "10",
day = "1",
doi = "10.1016/j.jss.2017.06.064",
language = "English (US)",
volume = "218",
pages = "329--333",
journal = "Journal of Surgical Research",
issn = "0022-4804",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Surgical approach to gallbladder disease in rural Guatemala

AU - Imran, Jonathan B.

AU - Ochoa-Hernandez, Annie

AU - Herrejon, Juan

AU - Madni, Tarik D.

AU - Clark, Audra T.

AU - Huerta, Sergio

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. Methods We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period. Results Patient demographics were similar in the LC and OC groups. Of the 63 patients who had elective surgery, 43 (68%) underwent OC. Conversion rate, hospital length of stay, and readmission rate were 4%, 4.8 days, and 5%, respectively. Complications were similar between groups. Conclusions Despite the low number of LCs, their complications were not different from that of OCs. During the study period, a large number of cholecystectomies continued to be open, even in the elective setting.

AB - Background In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. Methods We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period. Results Patient demographics were similar in the LC and OC groups. Of the 63 patients who had elective surgery, 43 (68%) underwent OC. Conversion rate, hospital length of stay, and readmission rate were 4%, 4.8 days, and 5%, respectively. Complications were similar between groups. Conclusions Despite the low number of LCs, their complications were not different from that of OCs. During the study period, a large number of cholecystectomies continued to be open, even in the elective setting.

KW - Cholecystectomy

KW - Guatemala

KW - Laparoscopic

KW - Open

UR - http://www.scopus.com/inward/record.url?scp=85025131136&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025131136&partnerID=8YFLogxK

U2 - 10.1016/j.jss.2017.06.064

DO - 10.1016/j.jss.2017.06.064

M3 - Article

C2 - 28985869

AN - SCOPUS:85025131136

VL - 218

SP - 329

EP - 333

JO - Journal of Surgical Research

JF - Journal of Surgical Research

SN - 0022-4804

ER -