Main Article Content

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.

Article Details

How to Cite
Berthe, H. G., Coulibaly, M., Diallo, M., Kassogue, A., Diarra, A., Thiam, D., Traore, A., Kone, M., & Guindo, O. (2020). Les Néphrectomies à l’Hôpital Sominé Dolo de Mopti (Mali). HEALTH SCIENCES AND DISEASE, 21(4). https://doi.org/10.5281/hsd.v21i4.1914

References

  1. Novick AC, Streem SB. Stream. Surgery of the Kidney In: Walsh PC, Vaughan Jr D, Wein AJ, Retik AB, Zorab R, eds. Campbell's Urology, Vol 3. 7th ed. Philadelphia, Pa: W.B Saunders Company; 1998, Ch. 97:2974.
  2. Moll F, Rathert P. The surgeon and his intention: Gustav Simon (1824-1876), his first planned nephrectomy and further contributions to urology. World J Urol. 1999 Jun; 17(3):162-7.
  3. Keller J. The 100th anniversary of the 1st nephrectomy in the world by Gustav Simon in Heidelberg on 2 October 1869. Z Urol Nephrol. 1970; 63(2):81-5.
  4. Herr HW. A history of partial nephrectomy for renal tumors. J Urol. 2005; 173(3):705-708.
  5. Datta B, Moitra T, Chaudhury DN, Halder B. Analysis of 88 nephrectomies in a rural tertiary care center of India. Saudi J Kidney Dis Transpl. 2012; 23(2):409-13.
  6. Daradka I. Indications for nephrectomy in children: A report on 119 cases. Saudi J Kidney Dis Transpl. 2012; 23(6):1221-6.
  7. Badmus TA, Salako AA, Sanusi AA, Arogundade FA, Oseni GO, Yusuf BM. Adult nephrectomy: our experience at Ile-Ife. Niger J Clin Pract. 2008; 11(2):121-6.
  8. Eke N, Echem RC. Nephrectomy at the University of Port Harcourt Teaching Hospital: a ten-year experience. Afr J Med Med Sci. 2003; 32(2):173-7.
  9. Treuthardt C., Doerfler A., Jichlinski P. Néphrectomie par laparoscopie : aspects techniques. Rev Med Suisse 2008 ; 4 : 2636-40.
  10. Sammon JD, Zhu G, Sood A, Sukumar S, Kim SP ,Sun M et al. Pediatric nephrectomy: incidence, indications and use of minimally invasive techniques. J Urol 2014;191(3):764-70.
  11. Cohen J, Mullins JK, Jayram G, Patel HD, Pierorazio PM, Matlaga BR et al. Trends and outcomes of total and partial nephrectomy in children: A statewide analysis. J Pediatr Urol. 2014; 10(4):717-23.
  12. Kaewwichian W, Pacheerat K, Chotikawanich E. Laparoscopic nephrectomy in children: experience at Srinagarind Hospital, Khon Kaen University. J Med Assoc Thai. 2012; 95 Suppl 11: S34-7.
  13. Phillips J, Catto JW, Lavin V, Doyle D, Smith DJ, Hastie KJ et al. The laparoscopic nephrectomy learning curve: a single centre’s development of a de novo practice. Postgrad Med J. 2005; 81(959):599603.
  14. Chabchoub K, Fakhfakh H, Kanoun S, Bahloul A, Mhiri MN. Childhood nephrectomy indications: a changing profile. Tunis Med. 2010; 88(7): 474-7.
  15. Beisland C, Medby PC, Sander S, Beisland HO. Nephrectomy-indications, complications and postoperative mortality in 646 consecutive patients. Eur Urol 2000; 37: 58-64.
  16. Kubba AK, Hollins GW, Deane RF. Nephrectomy: changing indication, 1960-1990. Br J Urol 1994;74: 274-8.
  17. Muhammad A, Khizar IK, Shahid R. Nephrectomy – An Overview. Pak J Surg. 2012; 28(2): 102105.
  18. Ndoye M, Niang L, Natchagande M, Jalloh M, Labou I, Gueye S. M. Nephrectomies : indications-techniques et resultats au service d’urologie de l’hopital general de grand yoff de dakar. URO’ANDRO - Volume 1 - N° 2 - Avril 2014.
  19. Andualem D, Teklebrihan B, Wuletaw C. Indications, Complications and Mortality of Nephrectomy in Tikur Anbesa General Specialized Hospital. East Cent. Afr. J. surg 2012 ; 17 (3) :92-7.
  20. Kassa A, Hagos M, Kidanu M. Indications and outcomes of nephrectomy in ayder comprehensive specialized and mekelle hospitals, northern ethiopia: a 5 year experience. Ethiop Med J, 2019, Vol. 57, No. 1.
  21. Ghalayini IF. Pathological spectrum of nephrectomies in a general hospital. Asian J Surg 2002;25:163-9.
  22. Mathew Y. Kyei, George O. Klufio, James E. Mensah, Richard K. Gyasi, Samuel Gepi-Attee, Kwadwo Ampadu. Nephrectomy in Adults: Experience at the Korle Bu Teaching Hospital, Accra, Ghana. Saudi J Kidney Dis Transpl 2015;26(3):638-42.
  23. Malik EF, Memon SR, Ibrahim AL, Gizawi AA, Ghali AM. Nephrectomy in adults: Asir Hospital experience. Saudi J Kidney Dis Transplant 1997;8(4):423-7.
  24. Rafique M. Nephrectomy: Indications, complications and mortality in 154 consecutive patients. J Pak Med Assoc 2007;57(6):308-1.
  25. Datta B,Moitra T,Chaudhury DN, Halder B.Analysis of 88 nephrectomies in a rural tertiary care center of India, Saudi J Kidney Dis Transpl 2012;23: 409-13.
  26. Chakravarti S, Karim T , Dey S, Gupta AK, Jain A, Nurbhai SM , Verma AK, Rustagi D. Retrospective analysis of nephrectomy performed in an institution for lower socioeconomic population in india. International Journal of Scientific Research. Volume Issue-7 July-2018.
  27. POLETAJEW J, ANTONIEWICZ AA, BOROWKA A. Kidney Removal The Past, Presence, and Perspectives A Historical Review. Urol J. 2010;7:215-23.
  28. Thompson IM, Peek M. Improvement in survival of patients with renal cell carcinoma: The role of the serendipitously detected tumor. J Urol 1988;140:487-90.
  29. Aiman A, Singh K, Yasir M. Histopathological spectrum of lesions in nephrectomy specimens: A five-year experience in a tertiary care hospital. J Sci Soc 2013;40:148-54.
  30. Ballesteros-Sampol JJ: Indications, morbidity & mortality of the open nephrectomy: analysis of 681 cases and bibliographic review. Arch Esp Urol. 2006; 59(1):59-70.

Most read articles by the same author(s)

<< < 1 2 3 > >>