| Peer-Reviewed

Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea

Received: 29 December 2021     Accepted: 26 January 2022     Published: 25 February 2022
Views:       Downloads:
Abstract

Aim: To report the indications, the approach and the complications of nephrectomy in the urology department of the University Hospital of Conakry. Material and methods: Retrospective descriptive study of 10 years duration, from October 1, 2006 to September 30, 216, on 34 patients who underwent nephrectomy. The parameters studied were: age, sex, operative indication, approach, type of nephrectomy, postoperative morbidity and mortality. The average follow-up was 12 months. Results: Between October 2006 and September 2016, 7064 surgical procedures were performed, including 34 nephrectomies, i.e. 0.48% of cases. Nephrectomy was indicated in 13 cases of renal tumor, 12 cases of pyeloureteral junction syndrome, 6 cases of pyonephrosis and 3 cases of American Association of Surgeons of Trauma stage IV kidney trauma.) Lumbotomy was the approach in 22 patients. Nephrectomy was extended in 16 patients and total in 18 others. We noted 4 cases of bleeding complications, 4 cases of parietal suppuration, 2 cases of death and 1 case of phlebitis. Conclusion: The indication for nephrectomy was rare in the department. The indications were varied, the most common being renal tumors and decompensated pyelo ureteral junction anomaly. Early management of renal pathologies would reduce the indication for nephrectomy.

Published in International Journal of Clinical Urology (Volume 6, Issue 1)
DOI 10.11648/j.ijcu.20220601.19
Page(s) 34-38
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Nephrectomy, Indications, Surgery, Morbidities, Conakry

References
[1] Durand M, Tibi B, Mate K, Chevallier D, Amiel J. Simple and extended open nephrectomy. EMC Techniques chirurgicales Urologie. Elsevier Masson SAS 2017, [41-020], - Doi: 10.1016/S1283-0879(17)48860-3.
[2] Coulibaly MT, Diallo MS, Kassogué A, Diarra A, Cissé D, Berthé HJG, Coulibaly LT. Nephrectomies at the Urology Department of the CHU Gabriel Touré. Health Sci. Dis: 2019, 20 (4): 84-87.
[3] Ndoye M, Niang L, Natchagande M, Jalloh M, Labou I, Gueye S. M. Nephrectomies: Indications-Techniques and Results at the Urology Department of Hospital General de Grand Yoff de Dakar. Uro'Andro 2014, 1 (2): 120-128.4.
[4] Andualem D, Teklebrihan B, Wuletaw C. Indications, Complications and Mortality of Nephrectomy in Tikur. East Cent. Afr. J. surg. 2012, 17 (3): 92-97.
[5] Rafique M. Nephrectomy: Indications, complications and mortality in 154 consecutive patients. J Pak Med Assoc. 2007; 57 (6): 4.
[6] Doerfler, Y. Zarkik, Y. Chollet, C. Treuthardt, V. Praz, P. Jichlinski. La néphrectomie partielle dans le cancer du rein: un nouveau standard? Rev Med Suisse 2008; 4: 2629-33.
[7] Fall B, Diao B, Sow Y, Sarr A, Thiam A, Fall PA, Ndoye AK, Sylla C, Ba M, Mendes V, Diagne BA. Le cancer du rein de l’adulte au Sénégal: aspects épidémiologiques et cliniques actuels et évolution du profil sur les deux dernières décennies. Progrès en Urologie. 2011, 21, 521–526. doi: 10.1016/j.purol.2011.02.013.
[8] Verhoest G, Crepel M, Bernhard J-C, Bellec L, Albouy B, Lopes D, et al. Élargir les indications de la néphrectomie partielle induit-il un surcroît de morbidité? Prog En Urol. 2008; 18 (4): 207–213.
[9] Diallo Y, Kouka SC, Kane R, Ndiaye A, Niang A, Sylla C. Gynephrosis: Clinical and therapeutic aspects of 19 cases. Rev. méd. Madag. 2016; 6 (1): 671-675.
[10] Tembely A, Kassogué A, Berthé H, Ouattara Z. Clinical and therapeutic aspects of pyelo-ureteral junction abnormalities at the University Hospital of Point G. Pan Afr Med J. 2016; 23: 256–256.
[11] Ezomike UO. Paediatric nephrectomy: Patterns, indications and outcome in a developing country. Malawi Med J. 2018; 30 (2): 94.
[12] Byun S-S, Hong SK, Lee S, Kook HR, Lee E, Kim HH, et al. The establishment of KORCC (KOrean Renal Cell Carcinoma) database. Investig Clin Urol. 2016; 57 (1): 50.
[13] Padja E, Janane A, Tayiri A, Chafiki J, Ghadouane M, Ameur A, et al. Néphrectomie partielle pour tumeurs rénales: technique et résultats à propos de 35 cas. Pan Afr Med J. 2015; 22. doi: 10.11604/pamj.2015.22.208.7962.
[14] Tengue K, Kpatcha TM, Sonhaye L, Amavi AK, Leloua E, Botcho G, Sikpa K, Sewa E, Anoukoum T, Amegbor K, Dosseh E. Adult kidney cancer in Togo: Frequency, Diagnosis, Treatment and Evolution. Uro'Andro - 2015, 1 (4): 177-182.
[15] Bagheri MH, Ahlman MA, Lindenberg L, Turkbey B, Lin J, Cahid Civelek A, et al. Advances in medical imaging for the diagnosis and management of common genitourinary cancers. Urol Oncol Semin Orig Investig. 2017; 35 (7): 473–491.
[16] Kim JH, Li S, Khandwala Y, Del Giudice F, Chung KJ, Park HK, et al. National trends of preoperative imaging modalities before partial nephrectomy for renal masses in the U.S. from 2007–2015. Can Urol Assoc J. 2018; 13 (3). doi: 10.5489/cuaj.5414.
[17] Amrani ME, Azizi M. Néphrectomie bilatérale de sauvetage compliquant une sclérose tubéreuse de Bourneville. Pan Afr Med J. 2014; 19. doi: 10.11604/pamj.2014.19.205.5483.
[18] Bigot P, Bernhard J-C, Crepel M, Bensalah K, Azzouzi A-R, de la Taille A, et al. How do partial and enlarged nephrectomies compare for the treatment of pT1aN0M0 papillary carcinomas? Retrospective comparative study of 277 cases. Prog En Urol. 2010; 20 (5): 350-355.
[19] Stang A, Büchel C. Renal surgery for kidney cancer in Germany 2005–2006: length of stay, risk of postoperative complications and in-hospital death. BMC Urol. 2014; 14 (1). doi: 10.1186/1471-2490-14-74.
Cite This Article
  • APA Style

    Barry Mamadou II, Bah Mamadou Diawo, Sow Thierno Amadou Oury, Atoumane Affed, Gnammi Ricardo Lahoumbo, et al. (2022). Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea. International Journal of Clinical Urology, 6(1), 34-38. https://doi.org/10.11648/j.ijcu.20220601.19

    Copy | Download

    ACS Style

    Barry Mamadou II; Bah Mamadou Diawo; Sow Thierno Amadou Oury; Atoumane Affed; Gnammi Ricardo Lahoumbo, et al. Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea. Int. J. Clin. Urol. 2022, 6(1), 34-38. doi: 10.11648/j.ijcu.20220601.19

    Copy | Download

    AMA Style

    Barry Mamadou II, Bah Mamadou Diawo, Sow Thierno Amadou Oury, Atoumane Affed, Gnammi Ricardo Lahoumbo, et al. Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea. Int J Clin Urol. 2022;6(1):34-38. doi: 10.11648/j.ijcu.20220601.19

    Copy | Download

  • @article{10.11648/j.ijcu.20220601.19,
      author = {Barry Mamadou II and Bah Mamadou Diawo and Sow Thierno Amadou Oury and Atoumane Affed and Gnammi Ricardo Lahoumbo and Diallo Thierno Mamadou Oury and Bah Mamadou Bissiriou and Cisse Demba and Kante Daouda and Bah Ibrahima and Diallo Abdoulaye Bobo and Bah Oumar Raphiou},
      title = {Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea},
      journal = {International Journal of Clinical Urology},
      volume = {6},
      number = {1},
      pages = {34-38},
      doi = {10.11648/j.ijcu.20220601.19},
      url = {https://doi.org/10.11648/j.ijcu.20220601.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.19},
      abstract = {Aim: To report the indications, the approach and the complications of nephrectomy in the urology department of the University Hospital of Conakry. Material and methods: Retrospective descriptive study of 10 years duration, from October 1, 2006 to September 30, 216, on 34 patients who underwent nephrectomy. The parameters studied were: age, sex, operative indication, approach, type of nephrectomy, postoperative morbidity and mortality. The average follow-up was 12 months. Results: Between October 2006 and September 2016, 7064 surgical procedures were performed, including 34 nephrectomies, i.e. 0.48% of cases. Nephrectomy was indicated in 13 cases of renal tumor, 12 cases of pyeloureteral junction syndrome, 6 cases of pyonephrosis and 3 cases of American Association of Surgeons of Trauma stage IV kidney trauma.) Lumbotomy was the approach in 22 patients. Nephrectomy was extended in 16 patients and total in 18 others. We noted 4 cases of bleeding complications, 4 cases of parietal suppuration, 2 cases of death and 1 case of phlebitis. Conclusion: The indication for nephrectomy was rare in the department. The indications were varied, the most common being renal tumors and decompensated pyelo ureteral junction anomaly. Early management of renal pathologies would reduce the indication for nephrectomy.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea
    AU  - Barry Mamadou II
    AU  - Bah Mamadou Diawo
    AU  - Sow Thierno Amadou Oury
    AU  - Atoumane Affed
    AU  - Gnammi Ricardo Lahoumbo
    AU  - Diallo Thierno Mamadou Oury
    AU  - Bah Mamadou Bissiriou
    AU  - Cisse Demba
    AU  - Kante Daouda
    AU  - Bah Ibrahima
    AU  - Diallo Abdoulaye Bobo
    AU  - Bah Oumar Raphiou
    Y1  - 2022/02/25
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijcu.20220601.19
    DO  - 10.11648/j.ijcu.20220601.19
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 34
    EP  - 38
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20220601.19
    AB  - Aim: To report the indications, the approach and the complications of nephrectomy in the urology department of the University Hospital of Conakry. Material and methods: Retrospective descriptive study of 10 years duration, from October 1, 2006 to September 30, 216, on 34 patients who underwent nephrectomy. The parameters studied were: age, sex, operative indication, approach, type of nephrectomy, postoperative morbidity and mortality. The average follow-up was 12 months. Results: Between October 2006 and September 2016, 7064 surgical procedures were performed, including 34 nephrectomies, i.e. 0.48% of cases. Nephrectomy was indicated in 13 cases of renal tumor, 12 cases of pyeloureteral junction syndrome, 6 cases of pyonephrosis and 3 cases of American Association of Surgeons of Trauma stage IV kidney trauma.) Lumbotomy was the approach in 22 patients. Nephrectomy was extended in 16 patients and total in 18 others. We noted 4 cases of bleeding complications, 4 cases of parietal suppuration, 2 cases of death and 1 case of phlebitis. Conclusion: The indication for nephrectomy was rare in the department. The indications were varied, the most common being renal tumors and decompensated pyelo ureteral junction anomaly. Early management of renal pathologies would reduce the indication for nephrectomy.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Urology Department, Ignace Deen Hospital, University Hospital Center of Conakry, Conakry, Guinea

  • Sections