Les Néphrectomies à l’Hôpital Sominé Dolo de Mopti (Mali)

HJ G Berthe, MT Coulibaly, MS Diallo, A Kassogue, A Diarra, D Thiam, A Traore, M Kone, O Guindo

Abstract



ABSTRACT
Introduction. Nephrectomy is the removal of the kidney. It is indicated for renal pathologies on functional contralateral kidney or for kidney donation. The objectives of our study were to describe the indications, techniques and results of nephrectomies in our structure. Patients and method. This was a cross-sectional descriptive and analytical retrospective study of the nephrectomies carried out at the Sominé Dolo Hospital in Mopti between 1 January 2012 and 31 December 2018. Results. During the study period, 99 nephrectomies were performed. The mean age of patients was 47.69 years with a male predominance; sex ratio was 1.41/1. Indications for benign conditions accounted for 73.73% of cases (12.12% for kidney trauma) and 26.27% for malignant tumors. The incision was as follows:  lombotomy (41.42%), under costal incision (26.26%), antero-lateral incision (19.19%) and median laparotomy (13.13%). Post-operative morbidity rate was 26.24%. The mortality was null. Conclusion. In our setting, nephrectomies are reported predominantly for benign disease. The mortality is quite low.
RÉSUMÉ
Introduction. La néphrectomie est l’ablation du rein. Elle est indiquée pour des pathologies rénales sur rein controlatéral fonctionnel ou pour le don de rein. Notre étude avait pour objectifs de décrire les indications, les techniques et les résultats des néphrectomies dans notre structure. Patients et méthodes. Il s’agissait d’une étude transvserale rétrospective descriptive des néphrectomies réalisées à l’hôpital Sominé DOLO de Mopti entre le 1er Janvier 2012 et le 31 Décembre 2018. Résultats. Durant la période d’étude, 99 néphrectomies ont été réalisées. L’âge moyen des patients était de 47,69 ans avec une prédominance masculine (sex ratio = 1,41/1). Les indications pour affections bénignes ont représenté 73,73% dont 12,12% pour traumatisme du rein. Dans 26,27% des cas, il s’agissait de tumeurs malignes. Les voies d’abord étaient la lombotomie (41,42%), l’abord sous costal (26,26%), l’abord antéro-latérale (19,19%) et la laparotomie médiane (13,13%). Le taux de morbidité post opératoire était de 26,24% et la mortalité nulle. Conclusion. Dans notre pratique, les néphrectomies sont indiquées en majorité pour affection bénigne. La mortalité est très faible.


Keywords


Néphrectomies -Tumeur du rein - Traumatisme du rein - Hydronéphrose - Pyonéphrose

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