First steps of laparoscopic surgery in Lubumbashi: problems encountered and preliminary results

For many reasons, laparoscopic surgery has been performed worldwide. Due to logistical constraints its first steps occurred in Lubumbashi only in 2008. The aim of this presentation was to report authors' ten-month experience of laparoscopic surgery at Lubumbashi Don Bosco Missionary Hospital (L...

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Bibliographic Details
Published in:	The Pan African medical journal Vol. 21; no. 210; p. 210
Main Authors:	Arung, Willy, Dinganga, Nathalie, Ngoie, Emmanuel, Odimba, Etienne, Detry, Olivier
Format:	Journal Article Web Resource
Language:	English
Published:	Uganda African Field Epidemiology Network 2015 The African Field Epidemiology Network The Pan African Medical Journal
Subjects:	adhesiolysis Adult africa afrique Appendectomy - statistics & numerical data appendicetomy Case Series Chirurgie chirurgie laparoscopique cholecystecomy coelioscopie Democratic Republic of the Congo Female Human health sciences Humans laparoscopie Laparoscopy - methods Laparoscopy - statistics & numerical data Laparoscopy surgery Laparoscopy/methods/statistics & numerical data Laparotomy - statistics & numerical data Lubumbashi Male Operative Time Sciences de la santé humaine Surgery Wallonie Bruxelles WBI Democratic Republic of the Congo adhesiolysis Laparoscopy surgery appendicetomy cholecystecomy Lubumbashi
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Summary:	For many reasons, laparoscopic surgery has been performed worldwide. Due to logistical constraints its first steps occurred in Lubumbashi only in 2008. The aim of this presentation was to report authors' ten-month experience of laparoscopic surgery at Lubumbashi Don Bosco Missionary Hospital (LDBMH): problems encountered and preliminary results. The study was a transsectional descriptive work with a convenient sampling. It only took in account patients with abdominal surgical condition who consented to undergo laparoscopic surgery and when logistical constraints of the procedure were found. Independent variables were patients' demographic parameters, staff, equipments and consumable. Dependent parameters included surgical abdominal diseases, intra-operative circumstances and postoperative short term mortality and morbidity. Between 1(st)April 2009 and 28(th) February 2010, 75 patients underwent laparoscopic surgery at the LDBMH making 1.5% of all abdominal surgical activities performed at this institution. The most performed procedure was appendicectomy for acute appendicitis (64%) followed by exploratory laparoscopy for various abdominal chronic pain (9.3%), adhesiolysis for repeated periods of subacute intestinal obstruction in previously laparotomised patients (9.3%), laparoscopic cholecystectomy for post acute cholecystitis on gall stone (5.3%) and partial colectomy for symptomatic redundant sigmoid colon (2.7%). There were 4% of conversion to laparotomy. Laparoscopic surgery consumed more time than laparotomy, mostly when dealing with appendicitis. However, postoperatively, patients did quite well. There was no death in this series. Nursing care was minimal with early discharge. These results are encouraging to pursue laparoscopic surgery with DRC Government and NGO's supports.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 scopus-id:2-s2.0-84947077880
ISSN:	1937-8688 1937-8688
DOI:	10.11604/pamj.2015.21.210.6689