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30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town
Background: Laparoscopic Cholecystectomy (LC) is the standard of care for symptomatic gallstone disease. It has a steep learning curve and can associated with significant post operative morbidity and mortality. LC carries a morbidity of 1.6 – 5.3%, mortality of 0.05 – 0.14% and readmission rates of...
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| Format: | Thesis |
| Language: | English English |
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Division of General Surgery
2025
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| _version_ | 1867613210740260864 |
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| access_status_str | Open Access |
| author | Kariem, Maahir |
| author2 | Kloppers, Jacobus |
| author_browse | Kariem, Maahir Kloppers, Jacobus |
| author_facet | Kloppers, Jacobus Kariem, Maahir |
| author_sort | Kariem, Maahir |
| collection | Thesis |
| description | Background: Laparoscopic Cholecystectomy (LC) is the standard of care for symptomatic gallstone disease. It has a steep learning curve and can associated with significant post operative morbidity and mortality. LC carries a morbidity of 1.6 – 5.3%, mortality of 0.05 – 0.14% and readmission rates of 3.3% (0-11.7%). We aimed to evaluate the 30 day outcomes of LC across four metropole hospitals in the Western Cape (WC) including mortality, length of stay, readmissions and complications according to the Clavien-Dindo Classification system. Methods: A retrospective review of a prospective database was performed. The data collection was collected between September 2019 and July 2022. Relative clinical, operative findings and post operative outcomes were analysed. Results: There were 1000 consecutive LC included in this study. The mean post operative length of stay was 1.92 days. Fifty-one patients developed surgical complications of which the most common surgical complication was a bile leak (n = 14) and intra-abdominal collections (n=11). Seven patients with bile leaks required reintervention. Four (0.4%) bile duct injuries (BDI) were reported in our series. Twenty-five percent of post operative complications were graded Clavien-Dindo IIIa and 28% were graded Clavien-Dindo IIIb. The 30 day readmission rate was 3.8% (n=38). Thirty-five surgical complications were noted of which 22 (62.8%) required reintervention. There were three reported mortalities (0.3%). Conclusion: Laparoscopic Cholecystectomy is considered the standard of treatment for gallstone disease and has potential serious complications. Our outcomes reported in this series is similar to that of other studies. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/40965 |
| institution | University of Cape Town (South Africa) |
| language | English eng |
| last_indexed | 2026-06-10T12:32:31.718Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/40965 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town Kariem, Maahir Kloppers, Jacobus surgery Background: Laparoscopic Cholecystectomy (LC) is the standard of care for symptomatic gallstone disease. It has a steep learning curve and can associated with significant post operative morbidity and mortality. LC carries a morbidity of 1.6 – 5.3%, mortality of 0.05 – 0.14% and readmission rates of 3.3% (0-11.7%). We aimed to evaluate the 30 day outcomes of LC across four metropole hospitals in the Western Cape (WC) including mortality, length of stay, readmissions and complications according to the Clavien-Dindo Classification system. Methods: A retrospective review of a prospective database was performed. The data collection was collected between September 2019 and July 2022. Relative clinical, operative findings and post operative outcomes were analysed. Results: There were 1000 consecutive LC included in this study. The mean post operative length of stay was 1.92 days. Fifty-one patients developed surgical complications of which the most common surgical complication was a bile leak (n = 14) and intra-abdominal collections (n=11). Seven patients with bile leaks required reintervention. Four (0.4%) bile duct injuries (BDI) were reported in our series. Twenty-five percent of post operative complications were graded Clavien-Dindo IIIa and 28% were graded Clavien-Dindo IIIb. The 30 day readmission rate was 3.8% (n=38). Thirty-five surgical complications were noted of which 22 (62.8%) required reintervention. There were three reported mortalities (0.3%). Conclusion: Laparoscopic Cholecystectomy is considered the standard of treatment for gallstone disease and has potential serious complications. Our outcomes reported in this series is similar to that of other studies. 2025-02-14T11:20:50Z 2025-02-14T11:20:50Z 2024 2025-02-14T11:19:05Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/40965 en eng application/pdf Division of General Surgery Faculty of Health Sciences University of Cape Town University of Cape Town |
| spellingShingle | surgery Kariem, Maahir 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| thesis_degree_str | Master's |
| title | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| title_full | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| title_fullStr | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| title_full_unstemmed | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| title_short | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four Cape Metropole hospitals in Cape Town |
| title_sort | 30 day outcomes of 1000 consecutive laparoscopic cholecystectomies across four cape metropole hospitals in cape town |
| topic | surgery |
| url | http://hdl.handle.net/11427/40965 |
| work_keys_str_mv | AT kariemmaahir 30dayoutcomesof1000consecutivelaparoscopiccholecystectomiesacrossfourcapemetropolehospitalsincapetown |