{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:24:04Z","timestamp":1787765044877,"version":"build-2784847793"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Different techniques have been described for removing a diseased gall bladder; however, cholecystectomy via the laparoscopic approach is currently regarded as the gold standard. Laparoscopic surgery services are not widely available in low- and middle-income countries and mini-laparotomy cholecystectomy may be a suitable alternative in such circumstances. This technique achieves cholecystectomy with a smaller incision and affords the advantages of the laparoscopic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We report our experience over a 2-year period of 24 consecutive patients from two hospitals who underwent mini-laparotomy cholecystectomy to highlight our outcomes with the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Data were obtained from the surgical theatre procedure register and medical records department of the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the study period, a total of 24 mini-laparotomy cholecystectomies were performed. Fourteen (58.3%) patients had a clinical diagnosis of calculous cholecystitis whereas 10 (41.7%) patients had symptomatic gallstones. There were four males (16.7%) and 20 females (83.3%) giving a male-to-female ratio of 1:5. The ages ranged from 18 to 68 years with a mean of 46.8 years (standard deviation (SD) = 12.7 years) and the mean operating time was 56.3\u2009min (SD = 7.5\u2009min) and ranged from 45 to 72\u2009min. There was no conversion to the traditional large incision cholecystectomy. There were no intra-operative or post-operative complications and there was no mortality in the study. All the patients were discharged 48\u2009h post-op.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Mini-laparotomy cholecystectomy offers the benefits of a minimally invasive procedure such as good cosmesis and short hospital stay. It has a relatively short operative time and a low incidence of complications and can be practised in a low-resource environment, where laparoscopic services are not available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_58_23","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T08:18:44Z","timestamp":1702282724000},"page":"59-62","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary experience with mini-laparotomy cholecystectomy in Jos"],"prefix":"10.4103","volume":"14","author":[{"given":"Alexander Femi","family":"Ale","sequence":"first","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercy W.","family":"Isichei","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Misauno","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"key":"CIT0001-20240907","doi-asserted-by":"crossref","first-page":"36","DOI":"10.17159\/2078-5151\/2018\/v56n2a2287","article-title":"An evaluation of mini-laparotomy cholecystectomy in the laparoscopic era: A rural experience","volume":"56","author":"Balasubramanian","year":"2018","journal-title":"S Afr J Surg"},{"key":"CIT0002-20240907","first-page":"304","article-title":"Mini-laparotomy for cholecystectomy in resourced limited settings: A 10-year retrospective hospital-based study","volume":"42","author":"Bashir","year":"2022","journal-title":"Pan Afr Med 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