Conference abstract

Laparoscopic surgery in Laquintinie hospital Douala, training, practice, and effectiveness: a five-year study

Pan African Medical Journal - Conference Proceedings. 2023:17(59).04 Jun 2023.
doi: 10.11604/pamj-cp.2023.17.59.1691
Archived on: 04 Jun 2023
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Keywords: Trend, practice, laparoscopic surgery, Douala, Laquintinie Hospital
Poster

Laparoscopic surgery in Laquintinie hospital Douala, training, practice, and effectiveness: a five-year study

Nwaha Makon Axel Stéphane1,2,&, Essomba Noel Emmanuel2,3, Mbouche Landry1, Fouda Jean Cédrick1, Essola Basile2, Ewole Collins Armand1, Ngandeu Jerry Marcel2, Bang Guy Aristide1, Fouda Pierre Joseph1, Essomba Arthur1

1Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé 1, Yaoundé, Cameroun, 2Hôpital Laquintinie de Douala, Douala, Cameroun, 3Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun

&Corresponding author

Introduction: the advent of laparoscopic surgery in Cameroon dates back to 1992. The practice has since then spread much more widely to the rest of the country and more specifically to Douala Laquintinie Hospital. We had as aim to evaluate the effectiveness of training, practice as well as immediate results of its practice in Douala Laquintinie hospital for the past five years.

Method: a cross-section study was carried out in the surgical department of Douala Laquintinie Hospital. We studied the Files of 145 patients operated by laparoscopic approach from 2019 to 2022, for their patient characteristics and surgical parameters

Results: the mean age(SD) was 33(12.2) years. Women made up 54.48% of the sample population. Surgeries performed per year were 65 (2019), 16 (2020), 46 (2021), 15 (2022). Gynecological surgeries (43.06%) were the most performed followed by visceral (29,25%) and urological surgeries (27,89%). The most performed interventions were female diagnostic laparotomies for infertility (29,9%), varicocelectomies (19,05%), cholecystectomies (11,56%), appendectomies (8,84%), prosthetic hernioplasties (7,48%), hysterectomies (4,76%) and orchidopexies for cryptorchidism (3,40%). Two cases were converted to open surgery intraoperatively. No intraoperative or post-operative death was recorded.

Conclusion: laparoscopic surgery in Douala Laquintinie Hospital is becoming a dependable tool for patient care. Its practice is still below levels seen in the Western world but better than that seen in v other parts of the country after a similar period following implantation