Surgical Practices in Algeria : the Cholecystectomy

Study Overview
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Brief Summary
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An anonymous national survey involving all practicing Algerian surgeons was conducted. At the end of the survey, all data were captured and processed using the SPSS v20 software; χ 2 tests were used to compare different groups of surgeons.

Detailed Description
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An anonymous national survey involving all practicing Algerian surgeons was conducted, this survey started the 1st November 2016 and ended the 1st September 2017. Any digestive , general and visceral surgeon practicing in Algeria was eligible for this survey, surgeons in training residents and Algerian surgeons exercising overseas was systematically excluded. The aim was to analyse some practice in accordance with the recommendations of the Society of American Gastrointestinal and Endoscopic Surgeons who published a guideline in 2010. This elaborated form was an electronic one; it was performed using the open electronic platform Google Form, the conception of the form was made by A.Tidjane surgeon and he was the first participant to this survey, considering his participation he was excluded from the seizure of the data. The analysis and interpretation of data was made by S.Benilha bio-statistician, B.Tabeti surgeon and A.Tidjane. The form consisted of two parts, the first concerning the surgeon's Wilaya of exercise, the rank of health structure of practice, his professional position , and the year of his graduation , the second part concerning his practices during the performing CH and the questions concerned the use of laparoscopy or open surgery to perform CH, the number of Trocars used, the technique to access the peritoneal cavity, the surgical technique, the use of intraoperative cholangiography IOC, the technique of extraction of the gallbladder, systematic gallbladder macroscopic and histological examination, the systematic abdominal cavity drainage, systematic use of postoperative antibiotic prophylaxis, and the optimal duration of postoperative stay in the case of optimal patient with no preoperative incident or postoperative complication. At the end of the survey a question was asked to surgeons about the occurrence during their professional practice of an operative bile duct injury. The language of instruction of surgeons in Algeria is French; the French was used to draft this form. This electronic form was distributed by email to all surgeons in the authors Mail lists, those first contacted surgeons had the mission not only to participate in this survey but also had the mission of distributing the electronic form to their surgeon colleagues. All incomplete responses were excluded. Statistical analyses: At the end of the survey, all data were captured and processed using the SPSS v20 software (IBM Inc., Chicago, IL, USA), a χ 2 tests were used to compare some surgical practices in different groups of surgeons, a (P < 0.05) was considered statistically significant.

Official Title
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Surgical Practices During Cholecystectomy in Algeria: Results of a Survey

Conditions
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General Surgery, Cholecystectomy, Practice Guidelines as Topic

Intervention / Treatment
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* Procedure: Cholecystectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: visceral an general surgeons practicing in Algeria. Exclusion Criteria: surgeon under training. Algerian surgeon practicing abroad.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Cholecystectomy|Cholecystectomy is the surgical removal of the gallbladder. Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Influence of surgeons caracteristics on surgical practices | The variables measured were of two types: A - linked to the characteristics of the surgeon participating in the survey: Exercice place. Type of exercise structure. Grade of surgeon. Date of graduation. Weekly volume of surgery. Use of laparoscopic surgery. B- Related to the surgeon's own practices when he performs this surgery: Laparoscopic or open cholecystectomy. Respect for the different dissection times. Number of trocars. Number of clips placed for the cystic duct and the cystic artery. Rule of extraction of the gallbladder. Use of antibiotics postoperatively. Abdominal drainage. length of hospital stay after surgery. To find a correlation between the variables of Group A and B, a test, a χ 2 tests were used to compare some surgical practices in different groups of surgeons, a (P < 0.05) was considered statistically significant. | 11 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cholecystectomy, middle income country, gallbladder, laparoscopy