Article Sidebar

Download
PDF

Main Article Content

Abstract

RÉSUMÉ
Introduction. L’abord cœlioscopique demeure encore peu courant en chirurgie digestive dans notre pays. L’objectif de cette étude est de rapporter notre expérience de la coeliochirurgie digestive durant l’année 2019 à Yaoundé (Cameroun) pour en promouvoir l’usage. Patients et méthodes. Il s’agit d’une étude observationnelle descriptive et multicentrique avec recueil rétrospectif de données conduite dans la ville de Yaoundé. Tous les dossiers exploitables de patients ayant eu une chirurgie digestive par voie coelioscopique, durant la période allant du 1er Janvier au 31 décembre 2019, ont été colligés. Résultats. Au cours de la période d’étude, 1.188 patients ont eu une chirurgie digestive parmi lesquelles 195 (16,41%) par voie coelioscopique. L’âge moyen de ces 195 patients était de 30,5 ans et 78 (40%) d’entre eux étaient de sexe masculin. Les trois indications de coeliochirurgie les plus fréquentes étaient: l’appendicite aiguë compliquée ou non (n=70 soit 35,89%), la cholécystite (n=44 soit 22,563%), la cœlioscopie exploratrice pour abdomen aigu «bâtard» (n= 16 soit 8,20%). Huit cas de conversion ont été enregistrés (4,10%). Le taux de morbidité était de 4,10% représenté essentiellement par les infections d’orifice de trocarts. Aucun décès n’a été colligé dans les 30 jours suivants la chirurgie. Le coût moyen des procédures était de 300.000 FCFA (457,35 euros). Conclusion. Bien que de faible volume, la pratique de la coeliochirurgie digestive à Yaoundé en 2019 a été assez courante avec des indications variées et des résultats satisfaisants. Son usage doit être encouragé.
ABSTRACT
Background. The laparoscopic approach remains uncommon in digestive surgery in our country. The objective of this study is to report our experience of digestive laparoscopic surgery during 2019 in Yaoundé (Cameroon) to promote its use. Methods. This was a descriptive, multicenter observational study with retrospective data collection conducted in the city of Yaoundé. All usable files of patients who had gastrointestinal surgery by laparoscopic route, during the period from January 1 to December 31, 2019, were studied. Results. During the study period, 1,188 patients underwent gastrointestinal surgery, of whom 195 (16.41%) were laparoscopic. The mean age of these 195 patients was 30.5 years and 78 (40%) of them were male. The three most frequent indications for laparoscopy were in decreasing order: acute appendicitis, complicated or not (n = 70 or 35.89%), cholecystitis (n = 44 or 22.563%), exploratory laparoscopy for acute abdomen “Bastard” (n = 16 or 8.20%). Eight cases of conversion were recorded (4.10%). The morbidity rate was 4.10%, mainly represented by trocar hole infections. No deaths were recorded in the 30 days following the surgery. The average cost of the procedures was 300,000 FCFA (457.35 euros). Conclusion. Although of low-volume, the practice of laparoscopic surgery in digestive surgery in Yaoundé in 2019 was quite common with varied indications and satisfactory results. Its use should be encouraged.

Keywords

Laparoscopy – Digestive surgery - Cameroon Cœlioscopie – Chirurgie digestive - Cameroun

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite
Guy Aristide, B., SAVOM , E. P. ., NANA OUMAROU, B., BINYOM, P. R., EKANI BOUKAR , Y. M. ., MBOUCHE, L. O., & ESSOMBA, A. (2021). La Coeliochirurgie Digestive à Yaoundé en 2019. HEALTH SCIENCES AND DISEASE, 22(9). https://doi.org/10.5281/hsd.v22i9.2935
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. - Perniceni T, Slim K. Quelles sont les indications validées de la cœlioscopie en chirurgie digestive ? Gastroenterol Clin Biol 2001;25(4):57-70.
  2. - Kelly KN, Iannuzzi JC, Rickles AS et al. Laparotomy for small-bowel obstruction: first choice or last report for adhesiolysis? A laparoscopic approach for small-bowel obstruction reduces 30-day complications. Surg endosc 2014;28(1):65-73
  3. - Schmedt CG, Sauerland F, Bittner R. Comparison of endoscopic procedures Vs Lichenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 2005;19:188-199
  4. - Gyedu A, Fugar S, Price R, Bingener J. Patients perceptions about laparoscopy at Kamto Anokye Teaching Hospital, Ghana. Pan Afr Med J 2015;20:422.
  5. - Misauno MA, Ismaila BO. Pioneering laparoscopic general surgery in Nigeria. Niger Med J 2011;52(2):104-6.
  6. - Arung W, Dinganga N, Ngoie E, Odimba E, Detry O. First steps of laparoscopic surgery in Lubumbashi : problems encountered and preliminary results. Pan Afr Med J 2015;21:210.
  7. - Nana Oumarou B, Bang GA, Savom EP, Ekani Boukar YM, Oumarou O, Essomba A, Sosso M. Laparoscopic management of acute small adhesive small bowel obstruction. Surg Chron2017;22(1):7-10.
  8. - Nana Oumarou B, Bang GA, Noah Noah D, Savom EP, Guifo ML, Essomba A. Diagnostic laparoscopy in digestive cancers: Is it useful?The experience of a third world low-volume institute after 70 consecutive cases. J Gen Emerg Med 2017;2(5): 027.
  9. - Nana Oumarou B, Bang GA, Oumarou O, Ekani Boukar YM, Essomba A, Takongmo S, SOSSO M. Laparoscopic segmental colectomy as management of a delayed post colonoscopic bleeding: A case report in Yaoundé(Cameroon)- A third world country. World J Laparosc Surg 2014;7(2): 98-100.
  10. - Bang GA, Nana Oumarou B, Savom EP, Bwelle Moto G, Essomba AG. Feasibility and outcome of laparoscopic approach for acute generalized peritonitis in Africa: Single low-center results after 25 consecutive cases in Cameroon. Ann Colorectal Res 2019;7(2):e90905.
  11. - Ray-Offor E, Okoro PE, Gbobo I, Allison AB. Pilot study on laparoscopy surgery in Port-Harcourt, NIGERIA. Niger J Surg 2014;20(1):23-25.
  12. - Adisa AO, Lawal OO, Arowolo OA, Alatise OI. Local adaptations aid establishment of laparoscopy surgery in a semi-urban Nigerian hospital. Surg Endosc 2013;27(2):390-3.
  13. - Nana Oumarou B, Bang GA, Guifo ML, Noah Noah D, Savom EP, Essomba A. Cardiomyotomie de Heller laparoscopique: à propos d’un cas opéré au centre hospitalier d’Essos. Health Sci Dis 2016;17(3):110-113.
  14. - Nana Oumarou B, Bang GA, Guifo ML, Ngo Nonga B, Essomba A, Sosso M. Is laparoscopy feasible and effective for acute postoperative small bowel obstruction in Africa? A case report in Yaoundé, Cameroon. PAMJ 2016;23:178. Doi:10.11604/pamj.2016.23.178.8279.
  15. - Nana Oumarou B, Bang GA, Guifo ML, Ngo Nonga B, Essomba A, Sosso M. Laparoscopic sugery for groin hernia in a third world country: a report of 9 cases of transabdominal pre-peritoneal (TAPP) repair in Yaoundé, Cameroon. PAMJ 2016;23:246. Doi: 10.11604/pamj.2016.23.246.8281.
  16. - Nar AS, Bawa A, Mishra A, Mittal A. Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis. Niger J Surg 2014;20(2):75-78.

Most read articles by the same author(s)

<< < 1 2