La cholécystectomie laparoscopique dans la drépanocytose

Fall, B.; Sagna, Aloïse; Diop, P. S.; Eo, Faye; Diagne, Ibrahima; Dia, A.

doi:10.1016/j.anchir.2003.10.013

Cited by 16 publications

(14 citation statements)

References 15 publications

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“…The presentation of the different anatomical structures and the difficulties of opening Callot's triangle required either retrograde cholecystectomy or anterograde cholecystectomy without a statistically significant difference between the two groups (p = 0.720). The average duration of intervention in our study is less than that of Fall, which is 60 minutes [5] (p = 0.046). It is not different from that of Diop Ndoye which is 55 min (p = 0.065) [8].…”

Section: Discussionmentioning

confidence: 53%

“…Ka during his study had a case of acute thoracic syndrome which after treatment evolved favorably after 5 days [13]. Fall has had complications such as thoracic syndrome (2 cases), vaso-occlusive attacks (3 cases) and biliary peritonitis (1 case) [5]. Parez found in his patients under laparoscopy a case of biliary peritonitis, a case of right pleural effusion, a case of vaso-occlusive crisis and a case of isolated fever evoking an intercurrent viral infection rather than a surgical complication [12].…”

Section: Discussionmentioning

confidence: 99%

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Comparative Study between Cholecystectomy in Sickle Cell Patients and Non-Sickle Cell Patients

Sacko¹,

Diallo²,

Camara³

et al. 2019

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Introduction: Laparoscopic cholecystectomy is the gold standard in the treatment of gallstones and lithiasis cholecystitis. It reduces post-operative complications especially in sickle cell patients. Aim: The aim of this work was to compare the results of laparoscopic cholecystectomy in sickle cell and non-sickle cell patients. Methods: Sixty-six patients including 25 sickle cell patients and 41 non-sickle cell patients were identified from March 2013 to November 2014 (20 months). The χ 2 test was used for comparisons. Values of p < 0.05 were used for a statistically significant difference threshold. Results: The mean age was 25.76 years for the sickle cell group and 45.61 years for the non-sickle cell group (p = 0.00008). There were 14/25 female patients in the sickle cell group and 28/41 in the non-sickle cell group. In per op, the diagnosis of acute cholecystitis was retained for 4/25 sickle cell patients and for 10/41 non-sickle cell patients. Diagnoses such as pyocholecyst (2 cases), porcelain vesicle (2 cases), hydrocholecyst (2 cases) were found in the group of non-sickle cell patients. Operative difficulties such as tight perivicular adhesions were encountered 9/25 times in the sickle cell group and 11/41 times in the non-sickle cell group. The average overall operative time was 55 min. There was no statistically significant difference between the different groups in mean operative time, occurrence of postoperative complication and average length of hospital stay. The mortality is not statistically different according to the group of patients. Conclusion: There is no significant difference between the cholecystectomy performed in sickle cell patients and that performed in non-sickle cell patients. The multidisciplinary perioperative man-

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Comparative Study between Cholecystectomy in Sickle Cell Patients and Non-Sickle Cell Patients

Sacko¹,

Diallo²,

Camara³

et al. 2019

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“…Dans notre série, l'âge moyen est de 41,22 ±11,27 avec des extrêmes de 12 et 61 ans. Ces résultats sont proches de ceux rapportés par certaines séries avec un âge moyen autour de 47 ans et des extrêmes de 20 et 80 ans (Bray, 2015 ;Diallo, 2010 ;Fall, 2003). Par contre Sani avait rapporté un âge moyen de 36,4 ans avec des extrêmes de 12 et 72 ans (Sani, 2007 (Hanney, 1999 ;Bennion, 1978 ;Bennion, 1976).…”

Section: Discussionunclassified

Cholécystectomies Laparoscopiques Pour Cholécystite Aigue Lithiasique Versus Lithiase Vésiculaire Symptomatique

Didier

Ito

Sana

et al. 2018

ESJ

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Introduction: The aim of this work was to highlight the therapeutic and prognostic difficulties between a laparoscopic cholecystectomy for acute gallstone cholecystitis (CAL) and uncomplicated symptomatic vesicular lithiasis (LVS) as well as the reasons for conversion to laparotomy. Patients and Methods: This was a prospective comparative and analytic study over 18 months. Patients admitted and operated for CAL or LVS in the A Surgery Department of the National Hospital of Niamey (HNN) were included. Results: The study involved 61 patients divided into two groups. Group 1 (30 patients) corresponding to patients operated for CAL, group 2 (31 patients) corresponding to patients operated for LVS. Laparoscopic cholecystectomy accounted for 61% of all cholecystectomies performed and 1.45% of surgical activity during the same period. The average age in group 1 was 43.7 years with extremes of 14 and 61 years. In group 2, the average age was 38.9 years with extremes ranging from 12 to 55 years. Women were predominantly represented with 63.3% and 96.7% respectively for groups 1 and 2. Patients were overweight in 9 cases for group 1 (30% of cases) and 12 cases in group 2 (38%), 7% of cases). Hepatic colic was the main sign of appeal in all patients in both groups. In group 1; 26 out of 30 cases or 86.7% of cases had leukocytosis, whereas in group 2, leukocytosis was normal in 30 cases, ie 96.8% of cases. Accessibility of the vesicle was difficult in 73.3% of cases in group 1 against 22.6% of cases in group 2. The vesicle was distended and necrotic in groups 1 in 76.7% and 10 respectively. % of cases. On the other hand, in 25.8% of cases, the vesicle was distended and without any necrosis in group 2. The rate of conversion to laparotomy was 6.55% (4 cases) and exclusively concerned group 1. Operative follow-up immediate outcomes were simple in 98.34% of cases. The complications involved 2 patients in group 1 (1.66% of the total), including parietal suppuration and biliary leakage. Mean operative time was 68.7 min in group 1 versus 41.6 min in group 2. Mean duration of hospitalization was 4.3 days with extremes between 2 and 10 days in group 1 versus1,7 days with extremes ranging from 1 to 7 days in group 2. Mortality was zero. Conclusion: In recent years, laparoscopic surgery has made remarkable progress in Niger. Laparoscopic cholecystectomy seems to be more difficult to perform with significant morbidity in the case of CAL than LVS. The risk of per and postoperative complications can be estimated from the clinical data (acute cholecystitis or symptomatic vesicular lithiasis) and the surgeon's experience. In a cholecystectomy that lasts more than 2 hours, the cumulative risk of complications is higher

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“…Certains auteurs opacifient même les voies biliaires par voie transvési-culaire afin de sensibiliser la découverte des canaux aberrants cholécystohépatiques [17]. Une opacification peropératoire des voies biliaires souhaitable n'est malheureusement pas toujours réalisable [5]. La sténose biliaire secondaire aux brûlures électriques par diffusion notamment après coagulation intempestive est décrite, mais rare aujourd'hui grâce à l'utilisation d'une coagulation bipolaire.…”

Section: Discussionunclassified

“…Tous les patients étaient porteurs homozygotes de la tare excepté un hétérozygote ; ils nous étaient adressés par un pédiatre pour une indication de cholécystectomie. Cette dernière était réalisée à l'image de la technique utilisée chez l'adulte [5], patient en décubitus dorsal, opérateur et aide à gauche du patient, écran-moniteur à sa droite. L'abord comportait quatre trocarts, rarement trois : sus-ombilical, épigastrique, flanc droit et paraombilical droit.…”

Section: Patients Et Méthodesunclassified

Le traitement coelioscopique de la lithiase vésiculaire chez l’enfant drépanocytaire au Sénégal

Ndoye

Diop

Fall

et al. 2010

J Afr Hepato Gastroenterol

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La cholécystectomie laparoscopique dans la drépanocytose

Cited by 16 publications

References 15 publications

Comparative Study between Cholecystectomy in Sickle Cell Patients and Non-Sickle Cell Patients

Comparative Study between Cholecystectomy in Sickle Cell Patients and Non-Sickle Cell Patients

Cholécystectomies Laparoscopiques Pour Cholécystite Aigue Lithiasique Versus Lithiase Vésiculaire Symptomatique

Le traitement coelioscopique de la lithiase vésiculaire chez l’enfant drépanocytaire au Sénégal

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