Experience of Laparoscopic Urology Surgery at a Territory Hospital, Addis Ababa, Ethiopia
Introduction: For several decades minimal access surgery has become the path of preference in the treatment of most surgical diseases of the urinary tract; replacing open surgery. It is a common treatment modality in the developed countries unlike the developing countries. In Ethiopia, retroperitoneoscopic renal cysts decortications was introduced for the first time, by our team.
Objective: To determine the outcome of minimal access urologic surgeries at SPHMMC
Methods: A prospective study was conducted on patients for whom laparoscopic urology surgeries were performed from January 1, 2017 to June 31, 2017 in St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Results: 33 laparascopic urology surgeries were performed in the study period. 20 were renal cysts excision, 11 Nephrectomies and the remaining 2 were Ureterolithotomies. For all procedures there was no significant blood loss (<70ml). After laparoscopic cystectomy the post-operative hospital stay was 24 hours and all patients started routine work on average of 15 days. After laparoscopic ureterolithotomy the total hospital stay was 48 hours. At the 15th post OP day both patients started their routine work. After laparoscopic nephrectomy all patients were discharged after 48-hours, and on average at the 21st day they started their routine work.
Conclusion: Minimally invasive surgery is a safe and effective option, for the treatment of renal cyst, ureterolithiasis and pathologies requiring nephrectomy. It provides a shorter hospital stay, earlier return to work than open surgery.
Keywords: Retroperitoneoscopy; Renal cyst decortications; Ureterolithotomy; Retroperitoneoscopic Nephrectomy, Hand-assisted transperitoneal laparoscopic nephrectomy
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