TITLE:
Review of Laparoscopic Activities at the University Hospital Center (CHU) “Mère-Enfant Luxembourg” in 100 Cases
AUTHORS:
Amara Coulibaly, Moussa Sissoko, Sidiki Konaré, Abdoul Karim Simaga, Sekou Koumaré, Drissa K. Bagayoko, Cheichna Tounkara, Zimogo Zié Sanogo
KEYWORDS:
Laparoscopic Surgery, Assessment, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.2,
February
28,
2023
ABSTRACT: Introduction: Laparoscopic surgery is a surgical technique that allows to intervene
under the control of an endoscope, introduced into the abdominal cavity
previously distended by an artificial pneumoperitoneum. We propose in this
study to bring the assessment of the laparoscopic activities in the department
of general surgery at the CHU MERE-ENFANT “Luxembourg”. Methodology: This was a descriptive cross-sectional study from September 2019 to September
2020 including 100 cases of laparoscopic procedures at the University Hospital
Mother and Child “Luxembourg”. All patients regardless of pathology, who
underwent laparoscopic surgery with or without conversion to conventional
surgery were included in the study. The data were collected from routine media
such as the consultation register and the operative report register. Data analysis was performed using SPSS 21 software. Informed consent was obtained from the
patients before their inclusion in the study, and each patient was assigned an
anonymity number. Results: In our study, the female sex represented of
the patients, i.e. 76% with a sex
ratio of 3.2. Housewives were 53% of the cases. The majority of patients were
in the age range of 16 - 30 in 44% of cases and 75% were married.
Overweight/obesity, hypertension and peptic ulcer were the main medical
histories with 22%, 12% and 10% respectively. All patients presented with
abdominal pain. Cholecystectomy was the main activity during the study with a
frequency of 43%, followed by tube surgery and appendectomy. The average
duration was 53 minutes for digestive pathologies 48 minutes with extremes of
22 and 66 minutes for gynecological pathologies. One case of injury to the
cystic artery was recorded. The conversion rate was 6% of cases. We recorded 5
cases of suppuration as a postoperative complication. The length of stay was 2 - 3 days in 96% of patients. Conclusion: In
view of this study, the feasibility of laparoscopic surgery at the CHU Mère
Enfant “Luxembourg” is no longer in question. Actions must be taken to
reinforce the practice of laparoscopic surgery.