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[Laparoscopic cholecystectomy. The first 30 cases in Bamako]
Z Z Sanogo1, D Sangare, L Soumare
1Service de chirurgie A, hôpital du Point G, Bamako, Mali.
Introduction:
The authors report the results of their short series of the laparoscopic cholecystectomy in the new center of coeliochirurgie of Bamako to Mali (West Africa).
Material And Method:
It is about a retrospective study over one 21 month period. All the patients carrying lithiasis symptomatic profited from this new technique in the service of surgery "A" of the hospital of the Point G Bamako.
Results:
30 patients were operated, that is to say 19 women and 11 men. The laparoscopic cholecystectomy accounted for 16,04% of the laparoscopic activity of the service for the same period. The pain of the hypochondre right was the reason for consultation for 96,7% of the cases (20 patients), and a defense of the hypochondre right was raised in 46,7% of the cases. The diagnosis of lithiasis vésiculaire was posed with echography in 100% of the cases. A standard hemoglobinopathy AS or SS was associated in 16,7% of the cases. The laparoscopic cholecystectomy was easy in 60% of the cases. Epiploïc adhérnces and grèles were the major per difficulty operational. Haemorrhages of the bed vésiculaire were noted among 3 patients. A patient is deceased continuations of embolism in post operational immediate. The duration of the operational act was on average of 76 min. The average duration of the hospital stay was 3,5 days. The cost of the laparoscopic cholecystectomy was lower than that of the conventional cholecystectomy in the service.
Conclusion:
This study of the first 30 cases proved the feasibility and the reliability of the laparoscopic cholecystectomy under the conditions of developing country. The unquestionable benefit for the patient and the hospital forecasts of a beautiful future for this new procedure.