Author/Authors :
james didier, l hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , adama, s hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , abdoulaye, mb hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , ide, k hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , hama, y hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , chaibou, ms hôpital national de niamey - département d’anesthésie, de réanimation et des urgences, Niger , adakal, o université de maradi - faculté des sciences de la santé, Niger , dady, h hôpital national de niamey - département d’anesthésie, de réanimation et des urgences, Niger , idé, g hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , maarouf, m services des urgences, Niamey, Niger , sidibé, t hôpital national de niamey - département de radiologie, Niger , harouna, y hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger , abarchi, h hôpital national lamorde - département de chirurgie et spécialités chirurgicales, Niamey, Niger , sani, r hôpital national de niamey - département de chirurgie et spécialités chirurgicales, Niger
Abstract :
Introduction. The laparoscopic pathway has become the way of choice in surgery. In Africa, this technique is increasingly used. We report ten years of laparoscopic practice in the surgery department A of the Niamey National Hospital. Materials and methods. This was a retrospective study carried out over a 10-year period from January 1, 2006, to December 31, 2015. All of the patients who were admitted to the general surgery A and who underwent surgery by coelioscopic approach were included. Results. During this period, 20,640 patients were admitted and 447 underwent a laparoscopic procedure (2.16%). Thesr were 130 men (29.08%) and 317 women (70.72%) and their mean age was 35.28 years.. 414 patients (92.6%) of had no surgical history, 34 patients (7.60%) had a history of laparotomy and 85 patients (19.01%) had sickle-cell anemia. The main reason for consultation was right hypochondrium pain for 305 patients (68.23%). 432 patients (96.64%). were ASA I. 285 patients (63.75%) had been treated for biliary stone. Laparoscopy was performed for diagnostic purposes in 65 cases (14.54%). Gynecological pathologies accounted for 11.18% of indications(50 cases). The conversion rate to laparotomy was 6% (27 cases), and the most common reason for conversion was inflammatory state of the gall bladder (14 cases ;3,13% ). The mean operating time was 62 minutes with extremes ranging from 50 to 180 minutes. 13 patients (2.90%) developed postoperative complications, including 6 cases of post-operative biliary leakage (1.34%). The average hospital stay was 2.5 days. For 99.35% of patients, the outcome was favorable. The mortality was rate was 0.65% (3 cases). Conclusion. Laparoscopy is feasible in our environment. It is a safe procedure with low morbidity and mortality. However, we must extend our indications on other pathologies.
