Audit of evolving roles of laparoscopy in the current surgical practice at Chris Hani Baragwanath Academic Hospital: a 5 year review

Objective: The objective of this study was to determine the evolution of LS in selected procedures. Design: This was a retrospective cross-sectional study to investigate and analyse the frequency of nine selected procedures (MAS versus open) performed from January 2014 to December 2019. Setting: The study was conducted at the Chris Hani Baragwanath Academic Hospital. Outcome measures: Data were collected from theatre registries. Statistical analysis was performed using the software IMB SPSS. The data were analysed using descriptive statistics of mean and standard deviation for age, and percentage and frequencies for categories of variables. Results: Of the 3745 patients involved in the study, 59.1% were males and 40.9% were females. The mean age of the patients was 35.17±17.30 years. Laparoscopic surgery was represented in 43.2% of the procedures, with laparoscopic appendicectomy (46.73%) and laparoscopic cholecystectomy (32.69%) being the most commonly performed procedures.. Twenty-five adrenalectomies were performed over the study period, and of those 12 (52%) were performed laparoscopically. All the thymectomies (12) were performed thoracoscopically, with one conversion. Conclusion: The findings of this study suggest that there has been an increase in the overall incidence of laparoscopic surgery in selected procedures at CHBAH.
A research report submitted in partial fulfilment of the requirement for the degree of Master of Medicine (MMed) in Surgery to the Faculty of Health Sciences, University of the Witwatersrand, School of Clinical Medicine, Johannesburg, 2023
Laparoscopic surgery, Chris Hani Baragwanath Academic Hospital, Laparoscopy