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Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 1-5

Early experience with laparoscopic surgical operations in Aminu Kano Teaching Hospital, Kano, Northwestern Nigeria

1 Department of Surgery, General Surgical, Aminu Kano Teaching Hospital, Kano, Nigeria
2 Urology Units, Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
Abdurrahman A Sheshe
Department of Surgery, General Surgical Unit, Aminu Kano Teaching Hospital/Bayero University, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.136688

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Background: New knowledge in health sciences, advances in technology, and a greater awareness of human rights add up to the need for higher standards in medical training and health services. Laparoscopic surgery is a major breakthrough in surgical practice that is now virtually integrated into all surgical fields. Its benefits have been recognized over many conventional open surgical procedures. However, its appropriateness and our readiness for the practice of laparoscopic surgery in Nigeria is yet to be determined. The objective of this study was to describe early experience, challenges, and prospect with laparoscopic surgical operations in Aminu Kano Teaching Hospital Kano, northwestern Nigeria. Materials and Methods: The case notes of patients admitted into the Surgical Wards of Mallam Aminu Kano Teaching Hospital in Kano, northwestern Nigeria that had laparoscopic surgical operations from October 2005 to October 2013 were retrieved and studied. The data collected from these was entered into Minitab Statistical Software. Relevant statistical indices were calculated. Results: A total of 42 patients were the subject of this review. Their mean age was 37 years, ranged 13-62 years. The male:female (M:F) was 1:1.2. The most common indication of laparoscopic operation was gallbladder disease in 38 (90.5%) patients. Laparoscopic cholecystectomy was the most common laparoscopic procedure performed. Two patients were converted to open surgery. The average duration of post-operative hospital stay was 4 days and the average operating time was 3 h. Conclusion: Experience with laparoscopic surgery is still early in our center, nevertheless the prospect is enormous. There is need for further skills acquisition and effective organization in order to maintain these services. Involvement of the National Health Insurance Scheme should assuredly bring about technological developments and subsidize the services to meet the socioeconomic challenges and changing disease pattern in our environment.

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