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Sani Rachid, Lassey James Didier, Mallam Abdou Badé, Chaibou Maman Sani, Abarchi Habibou. Laparoscopic cholecystectomy in sickle cell patients in Niger. The Pan African Medical Journal. 2009;3:19 Key words: Sickle cell disease, laparoscopic cholecystectomy, Niger Permanent link: http://www.panafrican-med-journal.com/content/article/3/19/full Received: 14/08/2009 - Accepted: 27/11/2009 - Published: 06/12/2009 © Sani Rachid et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Laparoscopic cholecystectomy in sickle cell patients in Niger
Sani Rachid1&, Lassey James Didier1, Mallam Abdou Badé2, Chaibou Maman Sani3, Abarchi Habibou4
1Department of general and digestive surgery, National Hospital of Niamey PB: 238 Niamey- Niger, 2Department of haematology and oncology, National Hospital of Niamey PB: 238 Niamey- Niger, 3Department of anaesthesiology, National Hospital of Niamey PB: 238 Niamey- Niger, 4Department of paediatric surgery, National Hospital of Niamey PB: 238 Niamey- Niger
&Corresponding author
Sani Rachid, Department of general and digestive surgery, National Hospital of Niamey PB: 238 Niamey- Niger, Phone: 00 227 20 72 22 53
Background
We report the results of our experience on laparoscopic cholecystectomy in sickle cell disease patients in Niger, which is included in the sickle cell belt.
Methods
A prospective study covering a period of 45 months, from July 2004 to March 2008. We included all sickle cell disease patients that underwent laparoscopic cholecystectomy. Blood transfusion was done for patients with haemoglobin (Hb) levels less than 9g/dl. Homozygous and composite heterozygous patients were admitted in intensive care unit for 24 hours or plus post operatively.
Results
The series included 47 patients operated by the same surgeon, 31 females (66%) and 16 males (34%) (Ratio: 0.51). The average age was 22.4 years (range: 11 to 46 years) and eleven (23.4%) of them were aged less than 15 years. The types of sickle cell disease found were 37 SS, 2 SC, 1 S beta-thalassemia and 7 AS. Indications for surgery were biliary colic in 29 cases (61.7%) and acute cholecystitis in 18 cases (38.3%). The mean operative time was 64 min (range: 42 to 103 min). Conversion to open cholecystectomy in 2 cases (4.2 %) for non recognition of Calot‘s triangle structures. The postoperative complications were: four (4) cases of vaso-occlusive crisis and one case of acute chest syndrome. The mean postoperative hospital stay was 3,5days (range: 1 to 9 days). No mortality was encountered.
Conclusion
Laparoscopic cholecystectomy is a safe procedure in sickle cell patients. It should be a multidisciplinary approach and involve a haematologist, an anaesthesiologist and a surgeon
