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Laparoscopic Cholecystectomy at the Centre Hospitalier Universitaire (CHU) Mère-Enfant le “Luxembourg” in Mali for 2 Years from 2020 to 2021

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Surgical Science 2022年第12期13卷 585-591页

作者： Amara Coulibaly Abdoul Karim Simaga Moussa Sissoko Sekou Koumaré mamedy doumbia Sidiki Konaré Zimogo Zie Sanogo Surgical Department “A” of the University Hospital Center (CHU) of Point-G Bamako Mali Surgical Department of the Centre Hospitalier Universitaire Mère-Enfant (CHU-ME) le “Luxembourg” Bamako Mali

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.

关键词： Cholecystectomy Laparoscopic Lithiasis Mali

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Appendicular Mucocele: About a Case Observed in Bamako

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Surgical Science 2022年第12期13卷 577-584页

作者： Amara Coulibaly Abdoul Karim Simaga Moussa Sissoko Sekou Koumare Sidiki Konare mamedy doumbia Zimogo Zié Sanogo Department of Surgery “A” of the University Hospital Center (CHU) of Point-G Bamako Mali Surgery Department of the Mother-Child University Hospital Center (CHU-ME) “Luxembourg” Bamako Mali

It is a globally rare condition that can present in a variety of clinical syndromes or can occur as an incidental surgical finding. It poses the double problem of its possible malignancy and the risk of gelatinous disease of the peritoneum in the event of perforation. We report a case treated in the “A” Surgery Department of the Point-G University Hospital Center (CHU) in Mali in 2022. It was a 62-year-old woman, a housewife who presented to the department. “A” surgery at the Point G University Hospital Center for pain in the iliac fossa. As a medical history, she was hypertensive on atenolol and a known diabetic on diet and metformin-based treatment, as well as symptomatic sickle cell disease (AS) and an undocumented history of peptic ulcer disease. The biological assessments revealed hyperleukocyte with granulocyte predominance. C-reactive protein was positive at 32 mg/l. Ultrasound revealed a 27 mm cystic dilation of the appendicitis in favor of appendicular mucocele. We proceeded with the appendix. The surgical specimen containing gelatinous fluid was removed and histological examination was in favor of a mucinous adenocarcinoma of the appendix.

关键词： Appendicular Mucocele Appendicular Tumor Bamako

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