TITLE:
Laparoscopic Cholecystectomy at the Centre Hospitalier Universitaire (CHU) Mère-Enfant le “Luxembourg” in Mali for 2 Years from 2020 to 2021
AUTHORS:
Amara Coulibaly, Abdoul Karim Simaga, Moussa Sissoko, Sekou Koumaré, Mamedy Doumbia, Sidiki Konaré, Zimogo Zie Sanogo
KEYWORDS:
Cholecystectomy, Laparoscopic, Lithiasis, Mali
JOURNAL NAME:
Surgical Science,
Vol.13 No.12,
December
30,
2022
ABSTRACT: Introduction: Laparoscopic cholecystectomy is a surgical technique that involves the
removal of the gallbladder by laparoscopy. Its practice is timid in sub-Saharan
Africa, despite the existence of risk factors such as sickle cell disease. We
report our 2-year experience of laparoscopic cholecystectomy in the general
surgery department of the CHU-ME Luxembourg. Materials and Method: This was a descriptive cross-sectional study from September 2019 to September
2021. The study included 64 patients with vesicular lithiasis who underwent
laparoscopic cholecystectomy. Data were analyzed on SPSS software (version
25.0). Confidentiality and anonymity of the subjects were respected. Results: The frequency of cholecystectomy was 30.9%. The average age was 38.37 ± 16.94
years. The female sex was 70.3%. Obesity and sickle cell disease were found in
85.9% and 14.1% of patients. On physical examination, hepatic colic was found
in 54.7% and the Murphy sign was positive in 64.1% of patients. Ultrasound
diagnosis of vesicular lithiasis was made in all patients. All patients
underwent laparoscopic cholecystectomy, which was retrograde in 64.1% of cases.
The average procedure time was 66 minutes. No case of complication was recorded
postoperatively. Conclusion: Laparoscopic cholecystectomy is a
technique to be developed and supported.