THE TRENDS OF GALLSTONE SURGICAL TREATMENT IN SAUDI ARABIAN PROVINCE: IS THE LOCAL PRACTICE UP TO DATE?

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Gallstone disease continues to be one of the leading problems in modern gastroenterology and in majority of cases requiring surgical management. This pathology has large impact on Saudi Arabian population and its Health system. Laparoscopic cholecystectomy has become a procedure of choice in current management of acute and chronic cholecystitis. The aim of this surgical audit based study was to analyze current management outcome in selected group of patients, who underwent laparoscopic cholecystectomy procedure in Saudi Arabian province of Al Kharj with relatively large local population. The multiple factors including patient’s demographic characteristics, modality and results of investigations, as well as, surgical outcome were analyzed and compared. This study demonstrated satisfactory surgical outcomes in gallstone management in the Prince Sattam Bin Abdulaziz University affiliated hospital, which demonstrated low complications rate and cost effectiveness.


  1. JarrarM., MeshrefA Al-Rowaili M.A.,Chemical Composition of Gallstones from Al-Jouf Province of Saudi Arabia, Malays J Med Sci. 2011 Apr-Jun;18(2):47–52.
  2. Schirmer BD, Winters K., Edlich R. Cholelithiasis and CholecystitisJLong Term Eff Med Implants 2005, v15,:329-338.
  3. Tamimi TM, Wosomu L, Al Khozaim A, Abdul-Ghani A. Increased cholecystectomy rates in Saudi Arabia. Lancet 1990;336:1235-7.
  4. Abu-Eshy SA, et al. Prevalence and risk factors of gallstone disease in a high altitude Saudi population. East Mediterr Health J. 2007 Jul-Aug; 13(4):794-802.
  5. Malatani TS, Bobo RA, Al-Kassab AS, et al. Gallbladder stones analyzes, bile and wound cultures in cholelithiasis. Saudi J Gastroenterol,1996;2:146-9.
  6. Pessaux P, Tuech JJ, Rouge C, et al. Laparoscopic cholecystectomy in acute cholecystitis. A prospective comparative study in patients with acute vs. chronic cholecystitis. SurgEndosc. 2000;14:358–361.
  7. Gutt CN1, Encke J, Köninger Jet al.,Acute Cholecystitis-early laparoscopic surgery versus antibiotic therapy and Delayed elective Cholecystectomy, Ann Surg. 2013 Sep;258(3):385-93.
  8. Polat FR, Abci I, et al. The Importance of IntraoperativeCholangiography during Laparoscopic Cholecystectomy. JSLS, 2000 Apr-Jun; 4(2): 103–107.
  9. Ragulin-Coyne E, Witkowski ER, Chau Z, et al. Is routine intraoperativecholangiogram necessary in the twenty-first century? A national view. J Gastrointest Surg. 2013 Mar; 17(3): 434–44.

[Anthony Morgan, Mohammed K Alelwan, NaifAlqahani, Ahmed Alqahtani, HumaidanAlmalki, Abdullah Alshaalan and Sultan Almutrafi. (2017); THE TRENDS OF GALLSTONE SURGICAL TREATMENT IN SAUDI ARABIAN PROVINCE: IS THE LOCAL PRACTICE UP TO DATE? Int. J. of Adv. Res. 5 (Jan). 1948-1953] (ISSN 2320-5407). www.journalijar.com


mohammed khaldun
doctor

DOI:


Article DOI: 10.21474/IJAR01/2964      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2964