PDF(Pubmed)
Abstract：
UNASSIGNED: Globally, the incidence and mortality from gallbladder diseases is on the rise. The gold standard for the management of symptomatic gallbladder disease is laparoscopic cholecystectomy. The practice of laparoscopic cholecystectomy is at a nascent stage in Low and middle-income countries like Nigeria despite its obvious advantages over traditional open cholecystectomy. This systematic review aims to assess the extent to which laparoscopic cholecystectomy is performed for the management of gallbladder diseases in Nigeria.
UNASSIGNED: The review was guided by the PRISMA model. We searched MEDLINE, Embase, CINAHL, Scopus, and Global health databases. All searches were conducted in August 2023. All study designs reporting laparoscopic cholecystectomy in Nigeria, in the past 10 years were included. Three authors conducted the data extraction using data extraction tables and two authors independently assessed the data for accuracy and completeness. The Joanna Briggs Institute critical appraisal tool was used to assess the data quality. Twenty-two articles with 1569 patients were included in this review.
UNASSIGNED: Females accounted for 69.5% of the patients and 30.5% were males. Twelve (54.5%) of the studies were from the Southwest of the country, 3 (13.6%) each from the South East and North Central regions, 2 (9.1%) South-South, and 1 (4.5%) each from the North East and North West. Study designs were mostly cross-sectional with sample sizes from 1 to 400. The highest and lowest number of laparoscopic cholecystectomies reported were 300 and 1 respectively. The majority (95.2%) of laparoscopic cholecystectomies were on account of calculous cholecystitis and the methods reported were the 4-port and 3-port techniques. The follow-up period ranged from 3 weeks to 2 years with 54 (3.4%) complications reported.
UNASSIGNED: Laparoscopic cholecystectomy in Nigeria is relatively safe with minimal complications. Its demand and uptake are on the rise, though slowly owing to its relatively high cost.
UNASSIGNED: The review was guided by the PRISMA model. We searched MEDLINE, Embase, CINAHL, Scopus, and Global health databases. All searches were conducted in August 2023. All study designs reporting laparoscopic cholecystectomy in Nigeria, in the past 10 years were included. Three authors conducted the data extraction using data extraction tables and two authors independently assessed the data for accuracy and completeness. The Joanna Briggs Institute critical appraisal tool was used to assess the data quality. Twenty-two articles with 1569 patients were included in this review.
UNASSIGNED: Females accounted for 69.5% of the patients and 30.5% were males. Twelve (54.5%) of the studies were from the Southwest of the country, 3 (13.6%) each from the South East and North Central regions, 2 (9.1%) South-South, and 1 (4.5%) each from the North East and North West. Study designs were mostly cross-sectional with sample sizes from 1 to 400. The highest and lowest number of laparoscopic cholecystectomies reported were 300 and 1 respectively. The majority (95.2%) of laparoscopic cholecystectomies were on account of calculous cholecystitis and the methods reported were the 4-port and 3-port techniques. The follow-up period ranged from 3 weeks to 2 years with 54 (3.4%) complications reported.
UNASSIGNED: Laparoscopic cholecystectomy in Nigeria is relatively safe with minimal complications. Its demand and uptake are on the rise, though slowly owing to its relatively high cost.
摘要：
■全球，胆囊疾病的发病率和死亡率呈上升趋势。治疗有症状的胆囊疾病的金标准是腹腔镜胆囊切除术。尽管与传统的开腹胆囊切除术相比，腹腔镜胆囊切除术的实践在尼日利亚等低收入和中等收入国家仍处于起步阶段。本系统综述旨在评估在尼日利亚进行腹腔镜胆囊切除术以治疗胆囊疾病的程度。
■评论以PRISMA模型为指导。我们搜索了MEDLINE,Embase,CINAHL,Scopus,全球健康数据库。所有搜索均在2023年8月进行。所有研究设计报告尼日利亚的腹腔镜胆囊切除术，包括过去10年。三位作者使用数据提取表进行数据提取，两位作者独立评估数据的准确性和完整性。JoannaBriggs研究所的关键评估工具用于评估数据质量。这篇综述包括22篇1569例患者。
■女性占69.5%，男性占30.5%。12项(54.5%)的研究来自该国西南部，东南和中北部各3人(13.6%)，2（9.1％）南南，东北和西北各1人(4.5%)。研究设计主要是横截面，样本量从1到400。据报道，腹腔镜胆囊切除术的最高和最低数量分别为300和1。腹腔镜胆囊切除术的大多数（95.2％）是由于结石性胆囊炎，报道的方法是4孔和3孔技术。随访时间为3周至2年，报告有54例（3.4％）并发症。
■尼日利亚的腹腔镜胆囊切除术相对安全，并发症最少。它的需求和吸收都在上升，尽管由于其相对较高的成本而缓慢。
■评论以PRISMA模型为指导。我们搜索了MEDLINE,Embase,CINAHL,Scopus,全球健康数据库。所有搜索均在2023年8月进行。所有研究设计报告尼日利亚的腹腔镜胆囊切除术，包括过去10年。三位作者使用数据提取表进行数据提取，两位作者独立评估数据的准确性和完整性。JoannaBriggs研究所的关键评估工具用于评估数据质量。这篇综述包括22篇1569例患者。
■女性占69.5%，男性占30.5%。12项(54.5%)的研究来自该国西南部，东南和中北部各3人(13.6%)，2（9.1％）南南，东北和西北各1人(4.5%)。研究设计主要是横截面，样本量从1到400。据报道，腹腔镜胆囊切除术的最高和最低数量分别为300和1。腹腔镜胆囊切除术的大多数（95.2％）是由于结石性胆囊炎，报道的方法是4孔和3孔技术。随访时间为3周至2年，报告有54例（3.4％）并发症。
■尼日利亚的腹腔镜胆囊切除术相对安全，并发症最少。它的需求和吸收都在上升，尽管由于其相对较高的成本而缓慢。
