Laparoscopic Cholecystectomy Operative Time and Hospital Stay Differences Between Sicklers and Non-sicklers: A Five-Year Comparative Cross-Sectional Study at King Abdulaziz Medical City, Jeddah

Lamair A Albakri; Reem A Algarni; Rawan K Alrajhi; Yasmin A Yousef; Syed Faisal Zaidi

doi:10.7759/cureus.30952

Laparoscopic Cholecystectomy Operative Time and Hospital Stay Differences Between Sicklers and Non-sicklers: A Five-Year Comparative Cross-Sectional Study at King Abdulaziz Medical City, Jeddah

Cureus. 2022 Oct 31;14(10):e30952. doi: 10.7759/cureus.30952. eCollection 2022 Oct.

Authors

Lamair A Albakri^{1

2}, Reem A Algarni^{3

4}, Rawan K Alrajhi⁵, Yasmin A Yousef⁶, Syed Faisal Zaidi⁷

Affiliations

¹ Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
² College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.
³ Research and Development, King Abdullah International Medical Research Center, Jeddah, SAU.
⁴ College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
⁵ College of Medicine, King Saud Bin Abdulaziz University of Health Sciences, Jeddah, SAU.
⁶ Department of Surgery, Pediatric Surgery Section, King Abdulaziz Medical City, Jeddah, SAU.
⁷ Faculty of Eastern Medicine, Hamdard University, Islamabad Capital Territory, PAK.

Abstract

Background Sickle cell disease (SCD) is one of the most important hemoglobinopathies that result in the formation of pigment gallstones. Laparoscopic cholecystectomy (LC) is a safe surgical procedure for gallstones in SCD. Currently, there is no standard or guidelines for the preoperative preparation of these patients. This study aims to estimate the difference in pre-operative length of stay, operative time, postoperative length of stay, and total hospitalization length of stay among patients with and without SCD in a tertiary hospital in Jeddah, Saudi Arabia. Such knowledge would aid in establishing a standard for the preoperative preparation of SCD patients for LC. Methods Data from all patients undergoing laparoscopic cholecystectomy between January 2013 and December 2018 were collected retrospectively with a comparative cross-sectional study design. Data included age, sex, BMI, clinical presentation, mode of admission (elective or emergency), preoperative length of stay, operative time, postoperative length of stay, total hospitalization length of stay, and type of surgery (day or inpatient). JMP 15.2.1 was used for statistical analysis. Results From 2013 to 2018, 793 patients underwent LC, and of those, 16 (2.018%) were SCD patients. The results showed significant differences in preoperative (p<0.001), postoperative (p<0.001), and total hospitalization stay time (p<0.001) between the SCD patients and non-SCD patients. However, the data show no significant difference in the operative time of LC between the two studied groups. Conclusion SCD is the most common hemoglobinopathy-causing gallstone. Challenges in these patients are mainly in peri-operative management. Further prospective cohort studies are needed to create a standardized approach for peri-operative management of SCD patients to facilitate delivery of the same level of care and shorten total hospitalization time.

Keywords: cholecystitis; cholelithiasis; gallstones; laparoscopic cholecystectomy; operative time; sickle cell disease.