Analysis of Cholecystectomies at Chris Hani Baragwanath Academic Hospital over three years

Abstract

Introduction: Laparoscopic cholecystectomy is a commonly performed operation globally. There has been an increasing trend noted worldwide. Reports from South African institutions are infrequent. This study aimed to analyse cholecystectomies performed in a major South African academic hospital over three years. Materials and Methods: A retrospective analysis of cholecystectomies performed at the Chris Hani-Baragwanath Academic Hospital, CHBAH, over a 3-year period (01st January 2017- 31st December 2019) was conducted. Data was obtained from specimens sent for histology and retrieved from the National Health Laboratory database. Annual cholecystectomy rates, age and gender distribution, histological diagnosis and seasonal trends were analysed. A comparison of this data is made with previously published studies. Results: Six hundred and forty-nine cholecystectomies were performed during the study period. Women underwent cholecystectomy more commonly than men (3.5:1; p= 0.001). The median age of patients undergoing cholecystectomy was 42 years (IQR 29-57). There were no cases of incidental gallbladder cancer on histology. There were no significant seasonal differences during the study period. There was a fivefold increase in the annual cholecystectomy rate when compared to a previous study done at CHBAH from 1983-1985. Conclusion: A fivefold increase was noted in the cholecystectomy rate at CHBAH when compared to previous studies. This is in keeping with international trends. This is presumably due to an increasing western lifestyle.